226N�
2155'
PLICATION FOR
CITY OF C
LOT NO.��.
ILDING PERMIT '
Da[Gr�'�K� _� ' Permit No._�.L-_
Appli n s€r b d •for p rmi o
'( storK T9$e
at Building <
V
to be occupied1 j�
in accordant ddvv t PI , Specificati ns a Plot -Plan fil d herewith. _
FstimaTd Value of Improvements, $ Fee v
y It is Hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino
/p I be c%�}Plied wit
in Owner _ e,� Address �i - B
BOtt1.DING wsp[CTOR
RECORD OF INSPECTION APPROVALS
D TI.. INSPECTOR X27%
'FRAME
D G INSPECTOR ,
LATH and PLASTER -
TE INSPECTOR
/G
FINAL BLDG.
.�
D TE INSPECTOR
FINAL ELEC. ---�
DATE
INSPECTOR
FINAL PLAG.
ATE/ INSPECTOR
FINAL GAS
DATE INSPECTOR-
. v
CERTIFICATE OF COMPLE•. IO,N
BUIMING INSPECTOR'S OFFICq
<1
!;V
CITY-OF CUPERTINO>-
Date .... '^ > o ✓ 195.... ;;;, Building Permit No1�r9�,
The Building, i_ocated atfJ "�. r * ?S?t„ " ,r,+c ' ";�^`✓` '
f_.. .... ....
Owned by i..�� .... oil .r,:� rf -.v.. .':_
Y, r' - ....... ..... ,
(Completed) r,�'t#" „ ..'
His Been For Use As: r-�... '..-...... ::.-._........ ......................... (:.Altered) :" �, -102 2/59-2 50 ,
' - BUILDING INSPFCTOI "