180 / I.OT NO.
Z —
NO, _STREET
w ¢ 1 TION FOR BUILDING PERMIT
CITY OF CUPERTINO
0 ' I AUG _ 1964 sanitary No.
Date { T 196. Permit No.
o < CITY A@IicatS� KW1made for a permit to
aIII story,Type U Building
o be occupied only as
00 in accordance with Plans, Specifi tions and to filed herewith.
> ; Estimated Value of Improvements, S '� Fee S 4/—=
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
d o Cupertino will be complied with.
3
Owner 0 �° + Address KfCGBR_.4_x_ «14 tR
w ByCQkt G _ 5 S1 iFkFCGI' AddressWA4 .
u
Phan Approve
State License '4X44"431-- UILDING INSPECTOR
- J
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECrOR
UNDERFLOOR
DATE INSPECTOR
FRAME.
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. '
DATE INSPECTOR
FINAL ELEC.
DATE. INSPECTOR
FINAL PLBG. I
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR