63 toT, —��
NO. STREET
APPLICATION._FOR BUILDING PERMIT
' a
o CITY OF CUPERTINO
oLL
o Sanitary No.
3u
Date �_ 1963 ermit No. ( n
' o
o r Application is hereby made f a permit
a
z a a stor ,Ty Q—. wilding
aw _
to be occupied only as
0 o in accordance with Plans, Specifications and lot-Plan led herewith. _
> 3 Estimated Value of Improvements,$ (Dt�t� qty Fee$ Ln �
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
d o Cupertino will be complied with.
3 Owner �l�i4�S:R0 k/ F11 KN AdclmsaO/ V'? STkyyk.✓ ,yl
By �2e`I AI s�/L.V S45 f01 i Address SS•a C`C /N.YP vi ,
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¢ a
01 ,—
a u Phone-3,T4 •tel`O/ 16 Approved .L1�.0
State License-� PiPGCEeS em D G INSPECTOR
r
' RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
17RAME
DATE. INSPECTOR
LATH and PLASTER
DAT6 � INSPECTOR
FINAL BLDG.
DATE INS TOR
FINAL ELEC.
DATE. INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR