2146 O3� 'CL
LOT NO.
E a
NO.
FCAPL�kjl�!A:-rildilkl R BUILDING PERMIT
o CITY OF CUPERTINO
u.3 < AN 14 1963 L sanitary No.
i Date 196_ Permit No.
o
r IT•/' .n nl ..�'
o � �p�licaho `s h W%J t L.Ide�f'Ni t to
' -�
iin a story,Typep w i��C4 Building I
ito be occupied only as ff y *'K-- C''his'/
0 o in accordance with Plans, Specifications and Plot-Platin filed herewith. 00
F3 Estimated Value of Improvements,S Moe-) ` Fee$
oa
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 c struction, location, and use of buildings within the City of
O Cuperti i be c plied ith.
3 „ Owner ddress
a BY _3 G— Address
us
0 Phon APProved
Q BUILDING INSPECTOR j
State License _ J
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR''1
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
AT6 INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. ,
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR