196 NO. STREET
W FOR BUILDING PERMIT
F K
r o OF CUPERTINO
5 , OCT 221964Sanitary IVO.
W „ Dam 196_ Permit No.
o is is Te?or itto0 MY
I in a story,TYPE �a-n`�'' '`-C, •- Building
< W
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ .� Fee$ T
zJ 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
O Cupertino wi�/be complied with. ,
3 a Owner F�/�-<-r=(' �`�-(✓ C - Address -d�c.vz�` L•�, i°'G D.
N
W W _
W a By ' ,Gv Address
07
U Phon � 7 7 ApproveM"LL1AM D. SeNM
State License/ Z�yL .S�Csc _ — BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. - ;.INSPECTOR
UNDERFLOOR I
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE / INSPECTOR
FINAL BLDG. k�
I
DATE INSPECTOR
FINAL ELEC. i
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR