2956 .20 3S LOT NO. ss
NO. S - �jA)�. /i3
w e�gT FOR BUILDING PERMIT
r ° OF CUPFRTINO
?(APR 16 1964 ��WW Sanitart• No. '/�3
5 O
= LL Date 196_ Permit No. r
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MY
ican isCyt e,tit�or a permit to
a
z ) a story,Type -r—T Building
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to be occupied only as—d .�
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0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
g Estimated Value of Improvements, $�Ct� . Fee$ (u/. nn
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatiop, and use of buildings within the City of
O Cupertino will be complied with.
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_ a Owner OT Addressz:9 i
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a By Address /
a 0Phon �5/? 19537 . PP A rose
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State License euu.otNc INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR 'r-/9'
DATE /U INSPECTOR
FRAME tl� -�"
DATE. INSPECTOR
LATH d PLASTER 6 -%T
DATE iR
1 FINAL BLDG. l(\Jr � k \^I1Y,,�� j
DAT / INSPECTOR
FINAL ELEC.
DA INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATF.// INSPECTOR