186 / `r T�/• I l oma. i LOT NO.
NO. R7REE
2 1 5 5 AP,�� A ON FOR BUILDING PERMIT
CITY.OF CUPERTINO
Date 9`� Permit No.__/z __
1 Ap j ati A4s•hereb made or, ermltt -r---N'_y
a stdrmixy,:Tbe Building
..:
at pp
to be occr(3t��YnllGI1
in accordavnce with Plans, Specificati s and Plot-Plat led herewith.
u Estimated Value of Improvements,. Fee$
r
It is hereby agreed that the requirements of the Cupertino Building and Zoning Or finances and
.4 all other laws applicable to the constr+uct/iop location, and use A- ridings ithin the City of
Cuprtlno wi e complieit LK-C.'�vU — "�Al?61
n
Owner— �/ t— �cf/ _ t_ _ Address t e
BY Address
TCNTRtACTOR,AGENT
Phone Approved
BO IAING INSPECTOR S,
RECORD O INSPECTI PROVALS
FOUNDATION ` —
rE, INs R
FRAME —
TR 1 CTOR
LATH and PLASTER / —
DATF� INSPECTOR
FINAL BLDG.
ATH--��
INSPECTOR
FINAL ELEC. `I
DATE INSPECTOR
FINAL PLBG.
D TH INSPECTOR
FINAL GAS �a
DATE INSPECTOR
CERTIFICATE OF CO; ION
BUILDING INSPECTOR'
I S
CITY OF CUPERT,
Date ......... ........... ........................... 195_,.... Building Permit No.
The Building Located at ...L........:.'... - ......................................
Owned by ...........o....... .................. .
.... .... .......... ...... .......�rl....................................
(Completed) For Use
As: ......_z........ ....................... ...M.,.... ................................
His Been (-Altered)
........................ ............... ......... ................_.....I._..........-...... - ... ... ........................
.................... ....... ...................... ........_........................ ................. ..............................
............... .......... ........................ ............... ...... ............... ........................ .......... ..........
............................:....... ....................
BUILDING INSPECTOR
102 2/59-250