54 LOT NO.
0.
N® �l (SI 7I FOR BUILDING PERMIT
ma
zi
wp
s O OF CUPERTINO
3 ,(MAY 2 81963 sanitary Na
i o llare 196_ er t No. 5!�
o e���Eats< OfGCII"��g3I erm t to
'z a a story,T pe S /d Building
aw
r to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Pla led herewith.
> N
F3 Estimated Value of Improvements, S ��� Fee a
oa
z J It is hereby agreed that the requirements oft Cupertino Building and Zoning Ordinances and
z all other laws ap hcable to the construction cation, and use of buildings within the City of
o Cupertino will c nplied with.
3a
e 4f Address
wz
a By
_a
/
Address
s
of ,Phons Approv
OState LicenseILDING INSPECTOR
RECORD OF INSPECTION +APP OVALS
FOUNDATION ' '-' '
DATE + INSPECTOR
UNDERFLOOR
-. Ip .�"1; .'(DATE INSPECTOR ..
FRAME -
DATE INSPECTOR
LATH and PLASTE I
_ DAT INSPECTOR
�(
FINAL BLDG.
DATE :C' - INSPECTOR
FINAL ELEC.' .d
DATE . INSPECTOR .�
.FINAL PLBG. -
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR