117 LOT NOS 6
NO. STREET
2154 PPLICATION FOR BUILDING PERMIT
` CITY OF CUPERTINO
Date - 195_ Permit No.__f/_�
Application is hereby made for a permit to
\ a story,Type Building
n at
e to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith. r9
'7, Estimated Value of Improvements, s1,A4 Dd Fee$ a2 5
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be cpm lied with.Owne
Lelle—
(.C�,1C/( 7�
By ., elm Address
ONTRACT AG T
.,•, : . , ,., J".. Approved'C�.1
Phone
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS'
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FOUNDATION �
D NSPECTOR
FRAME
D a SPECTOR
LATH and PLASTER
E INSPEC OR
FINAL BLDG.
ATB INSPP.GTOR ,
Ri
FINAL ELEC. 3
ATH INSPECTOR
FINAL PLBG. a3
ATH INSPECTOR
FINAL GAS 3
ATH INSPECTOR
CERTIFICATE OF COMPI. I 7'
BUILDING INSPECTOR'S 017FICF
CITY OF CUPERTINO N
Date ....r1.:............2!.................1 195-P... Building Permit No. ...1��......
The Building Located at ... Ay.&........ 1 <s ?`. �F• :
Owned by
. ......... ...........
Has Been (Completed) For Use As: ....... �......�rf/IfF/..........:....
($Itered) y
........ ........................ .........................................
.................................................................................................................................................
1
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................. D
102 2/59.250
BUILDING INSPECI'OR A
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