2024 �, G LOT NO.
w APPL'ISA t ,O, FOR BUILDING PERMIT
so
Y ®( 62 OP CUPpRTINO
a f OCTVC17 Sanitary No..,) J�6
3u
i o 1)itte'{ — 196_ Permit No.
`o di plic ton is hereby made for pe mit to
a m Story,Type Building
w
ato be occupied only as
0 o in accordance with Plans, Specifica ns Plot-Plano�ed herewith. OO
"; Estimated Value of Improvements, $ c75 7000 Fee$ CD `—
zJ 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
o Cupertino will be complied with.
3
- N Owner 'C¢-" .1-.f s' Address r//. 6 av r Q,f'
Kieol
By
Phoneme 2 P-25 0
Approved
State License /o .P 9 9/ ❑ IDING WSP'c"'
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE - INSPECTOR
UNDERFLOOR
DAl'I'. INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER J:9 DAIIEINSPECTOR
FINAL BLDG. DATEP.CTOR
FINAL ELEC. DATAINSPECTOR
I'INAL PLBG. -
DAATEE' q NSP)'Cl OR
FINAL GAS "
DATE INSPECTOR
CERTIFICATE OF COMPLETION ,
f�
BUILDING INSPECTzOR'S OFFICE ,
'CITY OF CUPERTINO
Date .....J..1C�..r......_.... 19.(p. uilding Permit No. -
_ ..1,(LL. �_... .
The Building=Locatede9t /
Owned by',v.. . . ...... ... - ---------
.. .. <�.
Alte
Has Been (Corilil'ee .
-Por Use As: . ..... S
r:J fir^ .. . - ......-`- ............................
................ .......... ............_...y...._... ....... --------c.-----_.........-
fr `
. .._..:.......... l .. .......------------
..----------
102 4/61-500 .._.. a
BUlL NG INSPECI"OR '
� y ��/.
•its ,