2673 /2--30111 /aJ DNoqS Wr•/ LOT NO.
NO. STREET
z Z NPPC-IC, TION FOR BUILDING PERMIT
x ° - OF CUPERTINO -
o p i g Sanitary No.
=LL Date IF OCT 8 / ,Lfa 196.E Permit No.
r °
phi on isy hereby made for a permit to ZCW6C 7
° a C1 ( UPFRTSN®
a m a sfory,TYPe // S- �o- T Building
to be occupied only as �/vn 04 -r�N rn�.G�L �MG,GGV�O
0 o in accordance with Plans, Specifications an Plot-Plan ed herewith. Cl
F3 Estimated Value of Improvements, $ -50. 000 Fee$ 0300
oa
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, location, and use of buildings within the City of
O Cupertino will be complied with.
3 m Owner��r72-"CeAr✓L Address S� N /� s' f rT
p n
By A✓�YNL� Address
a 0 Phone ,15-?-3192
Approved
DING
State License X577%/ INSPECTOR
J
RECORD OF INSPECTION- APPROVALS
FOUNDATION ,%D-9- 3 i
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME is
DATE DVSPFCTOR
LATH d PLASTER /a"
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR