2462 NO. AS6 w�yt.- ':
w - RMIA
n . 1 QN; FOR BUILDING PERMIT.
Y
° OF CUPFRTINO
63Samtan• \`o.
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= LL Date 1963 Permit No._ by
o a CjTXYpllCron 13 h Utadec;for a permit to
'z a .�� Type d �-) - .� ' Building
aw
� ? to be occupied only a ___r rL r T� 1 Q x tz
0 o in accordance with Plans,-Specification and Plot-Plan filed herewith. s
7 N
F
3: Estimated Value of Improvements, $ 9. 6V-o _ Fee$ V
i J It is hereby agreed that the requirements. of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the constructon , location, and use of buildings wi in the City of
o Cupertino will be complied with. 'e"Oe OCQ <7 fJ
3 ' Owner% ' Address
N V
W a By12 Address
01
a U Phone (/ Approv A , uv
Q7 State License 1163 r _ BUILDING INSVF. roa
RECORD OF IN PEC ON APPROVALS
o
FOUNDATION
DATE SPECTOR
UNDERFLOOR A — 3
DATE INSPECTOR
FRAME —7-
41 1
DATG NS
7
LATH n PLASTER — 7
DATE CTOR
FINAL BLDG. 3 ' �/ /
1 DA I INSPECTOR
FINAL ELEC.
I DA INSPECTOR
FINAL PLBG.
INSPECTOR
FcTo
v FINAL GAS