115 LOT NOZ f4_
2154 L ATION. FOR BUILDING PERMIT
r
CITY OF CUPERTINO
Date 195_ Permit No. e V -- _
Application is hereby made for a permit to
a_T story,Type Building
at
to be occupied only as �/�-C
in accordance with Plans/Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ '�ad(, Pee$ a2
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i..l all other laws applicable to the construction, location, and use of buildings within the City of
Cupenl will be plied with.
OSMff
4'
By / ' �:.00Addres
Phone ✓ � L 4
NTR ° �- Approved _ L
L BUILDING INSPRCTOR 'jy`
~ RECORD OF INSPECTIO APP + , LS`
FOUNDATION 1.9
T SP.
FRAME e
DA SPECTOR
•LATH and PLASTER _
pR INSP11 TOR
FINAL BLDG. /
DMR INSPECTOR
FINALELEC � lf
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DATE INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS J
DA7'R � •INSPECTOR
0
CERTIFICATE OF -CO OWN.
BUILDING'INSPECTOR'S O
_f 07.OF CUPERTJNO
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Date .. .�i ��........f,. "---........, 195.9.... Building Permit No. ....................
The Building Located at ... �% .. 1.1�.-fi{.1.::.7..1./tG:..............................
Ownedby ......,................. .t.:. ......_...! ... ..........._
Has Been (om ) For Use As: ........ / �'•
............. ..........................................
...............'--...........................................................................................:.........................
............................:.......................................................:....................................:.........:.............
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... :;r.................................................................
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102 2/59-250
..BUILDING INSPECTOR
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