52 LOT NO.
m NO. m TREJ"�
W ® 1cICATI FOR BUILDING PERMIT
R OP CUPERTINO
Y G
° J �I MAY 2 81963 Sanitary No.
3 `
u �?i
i „ Date 196_ it No
1 o nn'' � ^^ n''
LL w ►A�plicatiDtCis G Till, p mit to
i m a story,Type-
to / ��/ /n Buildi 9
to be occupied only as O
o `o in accordance with Plans, Specifications and Plot-Plan ed here ith. n
F ; Estimated Value of Improvements,$%40 tO Fee
o <
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
d o Cupertino will be complied with.' -
3Q
Owner Address
Q a By� Address
0hon APProved
OState Licens r 9nING INSPECT.
NSPECT
RECORD OF INSPECTION APPROVALS
FOUNDATION"-'
DATE, INSPECTOR
UNDERFLOOR
.I ODATE 1D, INSPECTOR 1�
DATE INSPECTOR
LATH and PLASTER I
DATE INSPECTOR
FINAL BLDG.
DATE _ INSPECTOR -
FINAL ELEC
DATE ' INSPECTOR '
All . .
FINAL PLBG.
DATE INSPECTOR
FINAL GAS L
DATE ' INSPECTOR
i