246 /1 /)
LOT NO.
2 1 5 5" A_P ?LIGATION FOR BUILDING PERMIT
�_ i� CITY OF CUPERTINO ''��
Date '/—f it .—v`• 195 ',��Permit No. 2
Application.)here�mmadl1pe-mi
P
Building
at ''
to be occupied
9 � s• C4—C I P
in accordance wiitth I an , Specifi i ffiF P n filed herewith.
u Estimated Value of Improvements,$ Fee$ •--
c
y It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Y all other lawWappli ble tothe construction, location;•and use of dings. thi .the it of
Cupertinp 'r'� ied ih.'
v Owner Address
i
By J Address
• t CONTRACTOR, GtJT 11 1
Phone/4 — G Approved
B ILDINC INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
T➢ INSPECTO
FRAME
D ➢ INSPECTOR,
LATH and PLASTERd-5 ;! 15a
n R INSPICIOR �.
FINAL BLDG. to
T➢ NSPECTOR
112
FINAL ELEC. ..:•,
DA E INSPECTOR
FINAL PLBG.
D-� INSPECTOR
FINAL GAS 1[�� /
d'.
Dnp 'TE� r:c'ro
I ,
�. ar
CERTIFICATE OF COMPLE TON
BUILDING INSPECTOR'S OFFICE'? io :'r`
CITY OF CUPERTINO
Date .............. ,/'.�-/ L 19 .. Building Per No . ....:
—�... .. -f I;x
.f --......�.._:.
The Budding Located at .... ....... ✓v,,rJ:_.,irt.''._r..:..,...........................
Owned by ........✓
(Completed)" -
Has Been (:& .For Use As: .... ................................
_._.....................__._....._...................._.. ,+................... ...:.............. ....... .,
...................._.............:...._...:...................:.......................................................................
.......
......._........._............:..... .......... .............................. _..._............-......................_.:...._.........
r.
BUILDING INSPECTOR
102 7/59.500 '