2683 a _ _ - i
LOT NO4
NO. STREE
w o PP AQ�N FOR BUILDING PERM
E � _
Y o
?(OCT221963 OF CUPERTINOSanitary �io.
3 l96permit No. 2W3
i 4 Date
n F M� pl' n '� y detfor a permit to
° < Cl I U�° €• f\1 It t J
i m a _story,Type — Building
r to be occupied only as
o `o in accordance with Plans, Specification�ss and Plot- anfilg herewith. p S-0
3 Estimated Value of Improvements,$d O r POd Fee$ 7 9
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino/willl e complied with
3 < Owrlcs� Address
wZ
W "a By Address c
< 0 Phon c,;V 3 -751 Approve o
(y State Licens o&'/50 e''� `s -- But r+ CTOR
RECORD Of INSPECTION APPROVALS
FOUNDATION 1,e) P7--3 1
DATE INSPECTOR
UNDERFLOOR
DATE NSPFCTOR
FRAME
DATEINSPECTOR .
LATH a PLASTER
DATE ( I( INSPECTOR
FINAL BLDG.
DAT INSPECTOR
FINAL ELEC.
ATE INSPECTOR
FINAL PLBG.
' DATE INSPECTOR
FINAL GAS
INSPECTOR