103 'Se, N'E G T !iO —v U LOTNO.
� �
�'APPM CTN F UILDING PERMIT
s �
Y O ® TY OF CUPERTINO
< DEC 11196311 Sanitary No.
sU
= o Date 196_ it No. 03
LL F �r �e yinut Ill
o Q CIT�PpILY".t'on �Freb}�made for a permit to _-
i a -r�-9 e ,Type &JO Building
to be occupied only as
_'o o in accordance with Plans, Specifications
//and
^^Plot-Plan ged herewith. p
F3 Estimated Value of Improvements, $ `•— Fez$ • O U
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with
✓u DSa u u0 /7&�•4el10-S /o a o ca.uxYo.P .S,v.y✓
3 yX Owner Address °SC
a a XBy l�'4�-�65 PET�'•4y A, Address �� ' CU.uuOK r•
01
0 ° Phon X53-6 7�5'
_U Approved
State Licens BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DAT6 INSPECTOR
FINAL BLDG. �"
----
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATF. T
- INSPECTOR