237 5-��r3S °C.R, SEK B�.i/Dt LOT NO.
NO. 0 S T
w Q ® A �A I N FOR BUILDING PERMIT
' 0 I OF CUPERTINO
0 a ,'A p R t9 �I Sanitary No.
U fh 7
_ `o Date X ! 196 S Permit No.
7
o Wli WPIERTMG a permit to cHAhl6-4!57 (i(6�t0y/ 0ICI
zto X D story,Typ'es +`/57-/M6- pms-) d� Building
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
F3 Estimated Value of Improvements,$ �����'� . Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z - all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with. /
< Owner R/E' - /kOR6 G1�30 Cj C`t�i4
0 Y Address eus
w W
W By IpS /II�O�V �P Address
li F
a U Phon _ Approved
' I State Licens O auu we INSPECTOR
RECORD OF INSPECTION.APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR j
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR