2420GAS SERVICE NOTICE OFF•ICL
COPY
BUILDING INSPECTOR'S OFFICE
CITYt%OF CUPERTINO
/ice I 19
To .
You are hereby authorized t nconnect the GAS se ice for
Owneror Tenant ............... ...................... ........------ ...............
New Service .... .........
No. of Meters .... (................ Reconnect ..............................
- ��^�M""""ove Service ........................
No. of Add. Meters .............. oe Meter ..........................
PLUMBING INS CT
Ito 6/63.500
FSI u YV'
i �. LOT NO.
EE
No. A�PPLICATIO �R BUILDING PERMIT
�P
,(a N 1 19bCsTY orl CUPERTINO �Q
�� .
'P
AP
No. f'
Date Jane 11 T196 1 Permit No. � 7 2 C
App cfYitto'h is(J rebp e f S permit tc Build
a 2 story, Type
to be occupied only as Hol
Building
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 22.000 Fee $ 6,7,9—
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 will be complied with. /
Own Address / O c>SG�- 7gle
By Address Q
Phonej_? 0 APProved
State License 21O (' ��/ • BUILDING INSPECTOR
RECORD OF INSPECTION
FOUNDATION
UNDERFLOOR
FRAME
LATH 5,d PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
INSPECTOR
'DATE
NSPFCTOR
DATE
SPECTOR
DATE
INSPECTOR'
DATE
INSPECTOR
DATE
INSPECTOR
I c.- 10 U11`
DATE
INSPECTOR
I G- lo '-
DATIi
INSPFCTOR