3000 LOT NO.
NO. TR
F a ® TI FOR BUILDING PERMIT
r o OF CUPERTINO
MAY H 1964 Sanitary No.
s�
196_ Permit No. , a? 0
o a ab�xca[QFis QRERtd F 10permi to �a';z-
i Inn a story,Type Q / gl `
aw
to be occupied only as �
0 o in accordance with Plans, Specifications and Plot-P an hied herewit�—
0o Od
F ; Estimated Value of Improvements, $ �� Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws aplicable to the construction, location, and use of buildings within the City of
O CuperYn0 w"I be -complied with.
_ m Owner Address
wZ
Q a Address
a o )Pho
_u S 79 f J S/ APProvejs vi Z'
°Lat[ Llcens BUILDING INSPECTOR
� 1
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. j
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
LOT N0.
NO. STREET
wAPPLICATION FOR BUILDING PERMIT
s 0 CITY OF CUPERTINO
Y 4
R
O Sam[a rP No.
s00od
ILL Date . 196_ Permit No.
0
o Application is hereby made for per to
i to a story,T pe p ' Building
aw
to be occupied only as
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> N �/�y� 0 0 5__ O
I- g Estimated Value of Improvements,S Fee$
J
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, loatiop, and use of buildings within the City of
0 Cupertino will be complieedd/with. T
-b�G�rs T.�-l�z� Address a:i! r,n_ et,_ m OOwnerwner
W a �y -�� - Address
i o J (Phon — 6
_u Approve
XState Licens t.El-co CL BUILDING INSPE.
t
_ J
-RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR j
DA'IL INSPPCTOR
FRAME'
DATE. INSPECTOR
LATH and PLASTER I
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adbk
DATE INSPECTOR