2581 20690 I Rodri ue _A enue rOTN°. 89
(f ST�
w �� APP 1I TI N FOR BUILDING PERMIT
F a
° ITY OP CC PFRTINO .p -
o a ! JUL 24 995 L.`=:. ` Sanitary No.
3u
ITDate July' erect
17 1963 Permit No.
cat �SiI
o pplii�n Is h�erel5y m�de for a permit to
a
a m a 1 story,Type Frame Building
to be occupied only as single family residence
a
0 `o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ 1 �6CQ e'_4. Fee$ 60.00
i J It is hereby, agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
J_ 0 Cupertino will be complied with.
3N OWneTn1 d Em Devl rs . n%ddress96O Camden Av.Campbel
wz
a By Address 911 and A Cam 1
a o Phony
— 0 379-22RO
Approved
j n„ State License 184784 / trrt.DING INSPECTOR
JC1 \
FOUNDATIONRECORD OF INSPEtTIOPY`APPROVALS
�-
DATE INSPECTOR
UNDERFLOOR —�
DATE INSPECTOR
FRAME /D —,P"3
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. n - 19
— 14 "
DATE INSPECTOR
FINAL PLBG.
D TE INSPECTOR
FINAL GAS —�
DATE INSPPCrOR