224 2 1 S05 BT
` PMI ATIOrI "FOR BUILDING PERMIT
to *y,,.OF CUPERTINO
Date195 Permit No
Applicatio he;ebk ed " r aT erg i,,,
\\cy a story,Type 1„t Building
` at `'IYIh1,I1 3,0 .19
to be occupied gs�lyp;
(a 1 ,,
in accordance with PI tis Splecifi a ' at d`Plot-PI filed herewith.
U
„ Estimated Value of Improvements, $ � Fee$ —
a
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appli .ble to the construct`�or�/�,{� location, and' use of bbuilding within the Cit of
Cupertino'odl e p 'ed t it}�r< `KCG—G /”' 0
rn Owner Address
By—A'L � ( Address
CONT ACTOI A N
Phon (p. Approved /
BU DING INSPECTOR 7>'�i
RECORD OF INSPECTION APPROVALS
FOUNDATION /= -
/ ATR INSPECTOR
FRAME
D TR INSPECTOR
i.
LATH and PLASTER
ATE INSPECTOR
FINAL BLDG. �/
DATE INSPECTOR
FINAL ELEC. w
DAT) INSPECTOR
FINAL PLBG.
, DATE INSPECTOR
� a 9
FINAL GAS
DATE INSPECTOR
I '
CERTIFICATE OF 4- iomp & ION
BUILDING INSPECTORS OFFICE ,
.CITY OF CUPERTINO
t
Date .............. � 195 Building Permit No. -�'�'�• ?
^a
The.Building Located at• .......
.............. ._............... :..... .
Owned by +. " •' __.." . . ....
Has Beet
(Completed)
hor Use As: � y -
................................... ....... .,
BUILDING INSPECTOR
102 2/59-250