3016a rv°FOR BUILDING PERMIT
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i0
>! ° TY OP CUPF.RTINO
5 a T11JUN 17 1964 sanitary No.
i Date 196_ ermit No. '?,014
00 GffYlicOF t(}PERTe, r a permit to
a �_ story, T pe — Building
`w o
to be occupied only a
a
0 o in accordance with Plans; ecifications and of -PI led herew'
_ 00
3 Estimated Value of Improvements, S— OeOO Fee $ 142'
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, locatiog, and use of buildings within the City of
o Cupertino will be complied with.
3 � C'f'' $� tid Address
_ a Owner
a a' BY�/� KAddress2✓ ¢i•s �o k/�,,
i��Phon 04-3 •L226 _ Approve
,State Licens 8L �'b _ eutcowc N E a
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE.
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPFCTOR
LATH and PLASTER
DATE
NSPFCTOR
FINAL BLDG. Ad
3a -C7-C7
DATE /
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE.
INSPECTOR