176 NO.
a ' I N FOR BUILDING �tMIT
z
Z = � I
r O OF CUPERTINO
° a tJV� 1b 1864 Sa ry'No.
i o Date �I1' p� 196_ Q�Permit o.aa
'o C) PloFon(tWPERT2dejfo^ape i o �ceC
i N a a story,Type �uildin�
a wt1J1
to be occupied only as r X 10, t tZ 2 C Cr o N A L 4
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
�', "; Estimated Value of Improvements,S �� — Fee S
z J It is hereby agreed that the requirements of the Cupertino Build' g and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use buildings within the City of
O Cupertino will be complied with.
3Q
OwneN S{a,A/tSaA/ 4H•+te� Address
a By �D,r�m�• Addres Sr ��
ww
a 0Phon 9 5757,4z APPro e
L-_ State Licens a� _ e DING IN"'cT
ta'_I
RECORD OF INSPECTION APPROVALS
FOUNDATION i
DATE. INSPECTOR
UNDERFLOOR
DA'I'S INSPPCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. :1 y
DATE INS . CR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adbk
DATE INSPECTOR ,