245 LOT NO.
2 Np STREET
�7 APPLICA 100 FOR BUILDING PERMIT
C OF CUPERTINO
Date _ . :� 54 Permit, �i i
Applicatio I hereby madefor-a permit t •i
a stry,jTppe Iq
Building
at
to be occupied on'IT
V 4
in accordance with Plans, Specific ons and Plot-P filed herewith.
3
Estimated Value of Improvements,$ Fee$
c
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicab a to the construction, location, and use of dings within the City of
"1 Cupertino w7bepco p ed with.
LO Owner Address
Byt ' Address
-
Phone
ONT
{ �CTOR P.NT�^ //
Phone_/ /� aL — Y�X� APProved v`' e-,---e-r,•-t
I , 1 ING INSPECTOR ✓,)`
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RECORD OF INSPECTION APPROVALS
olo
FOUNDATION (/G ✓i—�-� ��./
ATH -� INSPECT R
PRAMS
DATE NEPFCTOR
LATH and PLASTER
ATH INSPECTOR'
FINAL BLDG. j y
DATE / ' /y NSPECTOR
FINAL ELEC.
ATH INSPP.CTOR
7
FINAL PLBG.
DATE/ INSPECTOR
FINAL GAS _C /
DATE` I "INSPECTOR
CERT.IFIC'ATE OF: C� . iAPL�ETION >
_ BUILDINGANSPECTOR' OF 'ICE I; ,i;l _
- CITY OF CUPERTINO,,
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D1te ._:...,� ..., 195.,j.....7, ..Building Permit No. .:F .,r7.rhG.:.''.'..
' The Buil"ding Iocated.at ,/G
Ownedhy'---^--` r' .+,... ''!
(Completed) .,.
,. H1s Been I or'Use As '�%' :'.!�✓?s• " '
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' WifibING INSPA('IOR.,�,
102 2/59-250
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