111 aosr63 G4 � ta .
NO. STREET
w iEAN
fom PA N FOR, BUILDING PERMIT
n E7O°� OF CUPERTINO
5 21 9964 s:mitary
Date 196_ Fermit No. N ��
0
0 w C� I l b Lion j�hRre deVfor a permit to
° < lr 17 f liUr'
'z m a story B 'Iding
? to be occupied only as ' Zz
0 o in accordance with Plans, Specificati s and Plot-Plan filed herewith. jay
00
Estimated Value of Improvements, $ =342 0 Fee$ /T—
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
j O Cuperti 11 be co plied w't ^
_ N OwnAddress
W w P Address D�'eN0 P
a a"\ By
Of I
a U'�Phon Approve
State License B ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DAIF: INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. 1
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS _I
DATE INSPECTOR