2715 G1 11
�' 77 li" .-��/ LOT NO.
H / O, f�� STREET
�L'
'APICASTIION FOR BUILDING PERMIT
o219r OehOCT A �I(IY OF CUPERTINO
66 Sanitary No.
3 77
i a Date '2 a' -, '1963— Permit No. a ✓
LL ° Cgp� (`I�PFRTi�;�
o A I ion i4 ereb ade fora permit to X
a
i m a_ L' Type uildi g
< w
to be occupied only as �x
0 o in accordance with Plans, Specifications and PA Plan filed herewith. `CC
Estimated Value of Improvements,$X 000 Fee$ 10 >
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 NXOwner C J 1 o N/V SE/lJ Address //A 7� lee q 13E-Izx
Q a t By 3 l.,Q E NAgu e N PO O Address
�
�1)hone "� / — J 6 o Approved "l2R
(�/� State License BUILDING INSPECTOc�
���CO ��INSPECTION APPROVALS
FOUNDATION _ �o :jd'3i -
DATF. - INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
1DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL LLEC. '
DATE INSPECTOR ,
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR