211 IS`d'
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LOT NO.
APPLI I FOR BUILDING PERMIT
°
Q 0 ?DEC 23 1964 OF CUPFRTINO
O J Sanitary No.
mDatL•+�•r �l-2 n�t.Z�••t14,96'�" Permit No.
o INU
o Application is hereby made for a per to ISlCiCr
i N a story,Type Li X 6 U rL EACRT0%]A i 5 Tti►7 Building
< w
w to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> N
� 3: Estimated Value of Improvements;.$ S O Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of build' gs within the City of
J o Cupertino wilLbe complied with.
3 �
_ m Own r - ompovl -Stq" Address
Q. By Add
i0 Phone 2fr. S73'L
_u Approved
yY\4` State License Zfs i- eou.m INSPF.CTOP
L
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS AdmK
DATE. IT INSPECTOR