197 %t4�' IAT NO.
NO. STREET
a
_ z FOR BUILDING PERMIT
Ea a
r o OF CUPFRTINO
5 U ECT 22 1964, I Sanitary No.
i o Date 196_ Permit No.
o at s '� Far a permit to Lem o 'X
i a a story,Type Building
aw
to be occupied only as
a
o `o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> ; Estimated Value of Improvements,$�S(70 Fee$ SD
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
0 Cupertino wi�l Abe complied i}y Ih • � y�—
3 w Owner ` G Address'6Q CX
o733i1/ >h
W
a By Address
O0 a -Phone �7e7 Approved 1—LfAM D. B NEMC
State License /L 9L 3 tY3 BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE/— INSPECTOR
FINAL BLDG. T!
DATE OR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR