2795 NO. S
W �AP:PLICATJJJI .� FOR BUILDING PERMIT
r o ® yC�ITY OF CUPERTINO
INOV 22 1963 � Sanitary No.
5� �'79�
Date 196_ ermit No.
' o
`o CITt plIiQFn i(ierFy mad a fo3a permi
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i to a�story,Type Building
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to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> m ¢�� � CO �.O .
Estimated Value of Improvements, $�S1 — Fee$—l�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
2 o Cupertino will be complied with.
Owner
3 + A4-.S_ m
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rc a. By 0 r/c/, ddress 1 y
us
<U Phone — Z�/ _ Approve
States Licens J ` lS DING INSPECTOR
0.a./ -e-tt.a Co
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE �/ INSPECTOR
UNDERFLOOR
_DEI INSPECTOR
FRAME
DATE' INSPECTOR
LATH and PLASTER I
DATE�^^ 1 ECTOR
FINAL BLDG. a- k`'I
DATE INSPECTOR
FINAL ELEC.
ATE INSPECTOR
FINAL PLBG.
DAY FINAL GAS
DATF. INSPECTOR