140 r
a NO. Q S
W Z R1 A N FOR BUILDING PERMIT
f !�
r D PJ] OF CUPF.RTINO
5 < APR 24 1964 Sanitary No.
w „ Date (n�[C 196_ Permit No.
' � Cf TYplidStlon WP�yRTRRQ a mit to
oII r
i m a story, .t_ Building
aw J
to be occupied only
0 o in accordance with Plans, Specifications and PI t��t file erewith. Z0
F3: Estimated Value of Improvements, $�'OD Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws .applicable to the construction, locatiop, and use of buildings within the City of
O Cupertino will be complied with. '`�
3 Owner
dress
N
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Address
U Phon x1 - Approved _' • !•-c.��
,q State LICenS BUILDING INSPFCTOR v
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR '
LATH and PLASTER
y` DATE. INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR