352091
RM
.OT NO. /3
NO 0 6 C1�1T�000� FOP BUILDING PERMIT
® Cl F CUPERTINO
��SEP 4 19 Sanitary No. L-JSaa-
Date T //���� �� 196-3 Permit No. 02Z /
��pliVtid FS hdroVX2gTfo�aCpermit to �G7
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a 2 story, Type S' T Building
to be occupied only as 4� 4 -
in accordance with Plans, Specifications a d Plot -Plan filed herewith.
Estimated Value of Improvements, $ If. 000 Fee $ -5-2 - 0 0
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
U/
Owner — aAll-c�
ByCee- ;4�
Phone �2 S3- /oma
State License
Address S� • N• f� f•
Address 44==
Approved
BUIC ING INSPECTOR
RECORD O INSPECTION APPROVALS
3
FOUNDATION_)
DA/TEE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
LATH an PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
DATE /// a-yJ INSPECTOR
DATE V INSPECTOR
/ /d
DATE INSPECTOR
INSPECTOR
INSPECTOR
DATE INSPECTOR