1330LOT NO. 56,
NO. •. .. :-� T .
APP C TION FORl,BUILDING PER�g7J,T
OF CUPERTINO \1�z� !�
E'r 3
Date �Permit No. �
A Ii�a�jE hef�b}^ 'e f "mi
tt to _ build `•
a 1 story, Type 51J I Building .
at _ r2cvoffnnV.1WMT1N0 I lA
to be occupied only as 1 family rani dPnoa tJ
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $16, 000.00 Fee $ 51-00
v
c It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i $ alLother laws applicable to the construction, location, and use of buildings within the City of
'P •
�j Cupertino will be complied with.
} Owner C_�QI•IF.AL.TH RIITT.ilF77R, TN/l, .Address •d
{1 By Address
'I` % CONTRACTOR, AGENT V,
.• 14hone Approv
.k,. BUILDING INSPF.0 [t
RECORD OF INSPECTip'o APPROVALS
FOUNDATION _�1l�� 4
H t�-Tw.
FRAME
ATH nd PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
iL-
INSPECTOR
INSPECTOR ^'
/INSPECTOR
INSPECTOR
M&-jr, INSPECTOR
iL-
INSPECTOR
INSPECTOR ^'
CERTIFICATE ..OF. COMPLETION
BUILDING INSPECTOR'S OFFICE
} /1 CITY OF CUPERTINO
Date ......:-.. ............--- ------ uilding Permit No.......................
The Building. Located at .--._............... / r
' f
:.Ow❑cd by .. -----.8.` x.,. -_tea ;moi:--------- <----- ------------ -�r: Via'::, :••'.i...=-- ---
..-------
;,..' i(C6mpleted)�r' • ,f
Has Been .'For Use As.......h......._C.A_.'.!.Er. :..--'----..:.:
.4 ✓, , . `(Alteiedd) -} - , . -
__........................................ .......... n.
.......... �%;
BUILDING INSPFCI'
102 4/61-500 {