118LOT NO. 3 / C. �L-/J
N STREET /
•,a . ,2 PPLICATIO BUILDING PERMIT
?•: CITY OF CUPERTINO
m•:; . . � ter,,
j .Date v 195_ Permit No.
>^..,'y,Applicatio , s hereby made for a permit to
j' aT,_'siory,Type Building
at //fJ
to be occupied.only as I
in accordance with Plans,,Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ i 2 -:DD U Fee $
•It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
allother laws applicable to the construction, location, and use of b ngs within the City of
Cuper[in ill be mplie with.
TCO Owne,$ ✓TA't
_ ` i
By L Address
CONTRACTO ,AGENT
Phone1 [ ApprovedC"Y, y l (1{
• BUILDING INSPECTOR 77-1 '
RECORD OF IN
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG."
FINAL ELEC.
FINAL PLBG.
FINAL GAS
INSPkCIOR
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
I
, doiiereb/_ cerIthe undersigned tifyy f `''�•
the owner and occup-m+'Jof the single family dw li+ v tv 'r�--.g'
OZ2 t
-U.) 11_0 which Sr
c}c:�
application to doIeC62i.��'
ro W,
cork ab'a- home-. , ier-�
I•'also cern£„
thr,t I will -`
not hire,any non-licensed
Itzns
— pp1+. i 'Zjc contractor, but will do this -work_ rrrself. .
iC GLC 'vim
.'TELMIHOME NjTyBMm S +1<iTURE.
CE R T I FI C A T E('O-F-1z4C-O,C;; --.ET1
CITY OF CUTIERTI
Date ------ ....... ------ •
B
0. ,
13. 7��elllt
The Building Located at --- 2 i�* ............ ....... ---------
............................. 7 ... -e ...
•
102 2/59.251
............................................... . . .... .... . .. -
BUILDING INSPECTOR