1358 A9�j -y
�Q
/ /CJ /�lt� A,t •V(,F� - �L LOT NO.__
NO. STREET
p� II A 1 N FOR BUILDING PERMIT Z ��
W OP cup
ERTINO
Dat ?SEP 12 1961 -1195—, . Permit No.
y7
,lication i herebymade for a permit to'"F- /41?��(�
L d" "x b
ALJ
to be occupied only as i^
in accordance with Plans, S cifications and
—Plot-Plan filed herewith. pp
Estimated Value of Improvements,S /Jr��C) Fee$
,, ❑.' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and �
aMother laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with:
;? Owner_. b!/ • �F� _ Address
r.•.'
=CONTRACT;O�. AGINT
Address •
honeApprov` i / V
BUILDING INSPECTO
RECORD OF INSPECTION-APPROVALS
17OUNDATION
D 99 TR INSPECTOR .^,
FRAME
U DATE INSPECTOR
`LATI�arAi &R
DAINSPRGTOR
FINAL BLDG.
DATE] .;;/�1 INSPECTOR '
FINAL F.LEC.
DATE / .INSPECTOR
FINAL PLBG.
DAT / INSPECTOR
FINAL GAS / / /o/
DATE INSPECTOR
[ ' I
I Y
I
f
*,CERTIFICATE OF 'COMPLETlq-M
BUILDING INSPECTOR'S OFFICE
CITY OF^� CUPERTINO
hDate ...._ /G�r ----:.............t..., 19 _•:5... Building Permit No. ��
......A
y
The Building Located at s.a '. 7—•r' ;.ice y',t•,p '�f '
Owned by ) rr .t ---------
------ Via.
�., f•
(Cete
ompld)y ul ��
His'Been (Alte_ for Use As: .........::: .L...------...-----....-----
rd) _
.........-------------------------------.....................................
........................
....... :,-.
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...........:....:..i..............A......., _,lea/{��1+iD'"
.f - '•.�.' ............
4.............................._..
� BUILDING INSPECTOR
107. 4/61-St10 I .t'Fvli. ✓ $'•
• 2