2846 LOT NO.
N a NO. Q 5 rtET� -
W ® A �t �CiCAA I ,,tt FOR BUILDING PERMIT
° T"1' OF CUPERTINO
Y { J (D
° a ,IFEB a 9964 Sanitary No.
5
w LL Date 196_" f _
Permit No.
-__ o � CITypli(Qron '>r�59"3Y.rrn�dMapermit to
i In a story,Type — /111/R. Building
a w
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
dw Ofl
F ; Estimated Value of Improvements, $ �3, OD�� Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, locatiog, and use of buildings within the City of
j o Cupertino will be om ied wyv n ,ynn
3 < Owner Address J//rsCYtl
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a BY �"d'a"' Address
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aPhon - 2 Approve
a State Licensr/20- R57 ABUILDING 1NSPEC
--RECORD OF INSPECTION APPROVALS
FOUNDATION —
kDATE INSPECTOR
1UNDERFt@J6i`i < - 11
J��
DATE, ` INSPECTOR
-RAMS —'�/ 1 _
DATE. INSPECTOR
ryLATH and PLASTER
a DATE. / INSPECTOR
-INAL BLDG. i
DAT '' INSPECTOR
FINAL ELEC.
DATE INSPECTOR
L.31 �-INAL
AL PLBG. DATE INSPECTOR
GAS
D E. INSPECTOR