124 T1 NJ���f nleS�. STE't/L�S CKc�:C. 1�� dY6tL.i,v'Fr—
II LOT NO.
W Q NO. Q ST
z I I y FOR BUILDING PERMIT
o ® TY OF CUPERTINO
LLGIGI oo�AAl/��
0 I�JIAR 13 1964 Sam ar ru.
i LL Date 196_ Fermit N
o M�.t
o CKpYlicOFn i%jKR3Tllro?a rmi/tom
i a__�story tel) Building
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to be occupied only as
00 in accordance with Plans, Spec cations and Plot-glen filed herewith. a p
F3 Estimated Value of Improvements,$ Bd— Fee s
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
2 0 Cupertino will be cornplied with.
3 m Owner &� A— 6490-? C—if 6-)lddress
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By Address��
0 s ht- . `�z'�La _
U Phon Approved
State License BLALDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE: INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTE
DAi INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR