243 /V✓C// / .�G�'G�,NTS/�-C� LOT NO. �ZZ
NO. sTREET
2 1 5 5 _ APPLICf►T,ON FOR BUILDING PERMIT
CITY OF,CUPERTINO
Date 195
p '' -
yC ;I Permit No. _
Applicata n'g h re�by�tnade.for a perm�if �
a Stgy�pe' - J1 Building
II SIS II.
at
to be occupied'Tr s - tin
in accordance with Plans! Speci at A/It�� of-PI ,filed herewith.
Estimated Value of Improvements, 46--O. Fee.�
u It is hereby agreed [hat the requirements of the Cup rtino Building and Zoning Ordinances and
.a allother laws applicable to the const rue�lon, location, and. use of ildings within the City of
Cupertinw•p•ill bg'lomplied
l Owner Address_ G
Bys= • Address
CONT OR, AGENT,
Phone - Approved
BU LDING INSPECTOR
RECORD OF 'INSPECTION APPROVALS
.FOUNDATION _ Af
v
A R INSPECTOR %
FRAME
A)ATE INSPECTOR
LATH and PLASTER e
D TR INSPECTOR
FINAL BLDG.
D �1yINSPECTOR
FINAL ELEC. 7 �- U
DA ^INSPECTOR
FINAL PLBG.
AT / INSPECTOR
FINAL GAS � -) t
DATE i INSPECTOR
CERTIFICATE 0VC � PLETION
F � 1
BUILDING INSPECTOR'S :01771CP
Date ....._ jl._�.....""""--_""" CITi,901 TIPHRTIN ilding Per {d,
'-�" p mit No 1?t�l
The Building Loted at _`•:_ .1•L+
/ ! , tl✓d`�fr..
C GGu
Owned,by . . . . .
.
(Completed) For Use As: .-..:a .P"�•'�'r -
:......._._........................_....--.....-..-.._.....-.-.....-.......................'..........------:.................--..._._--....
. ................................_..................
• "`ice^.
......."-....-..._..-...:',' r.�..."....._................_._.....-,
13UB,DING INSI'17C"f0"li
102 2/59-250' •, • .r'.?ice .