193 OJ
N NO. s 1 A N FOR BUILDING PERMIT
a
3Z
z � D
o LTY OF CUPERTINO
° i �OCT 191964 Sanitary No.
s� �
= LL Date 196_ Perm No. (9-sl
o CITA GF 'Ora
permit
a
zz to a story,Type "— ' _ Building
o be occupied only as Qa
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ �� Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, locatiog, and use of buildings within the City of
o Cupertino will be complied with.
3 N Owner M 0 S 'nom Address
w z
a By Address ZL �os7f S f
a U Phonez9'Sarl.3Z Approved
State License '73 Z B 1P G INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATEINSPECTOR
FINAL BLDG. iL '
DATE INSPECTOR
FINAL ELEC. '
DATE INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE IN,SPFCTOR