138LOT NO.
NO. .P.T
`2 154 A � CATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 195_ Permit No
Application is hereby made for a permi
,'� a 'story, Type Building
.. .V..at
to be occupied only as
r in accordance with Plans, 5 ecifications and Plot -Plan filed herewith. p'
u .,Estimated Value of Improvements, $� een Pee $ cA
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
n.d all' other laws applicable to the consty¢tion, location, and use of buildings within the City of
Cup o w e complied wi[
u L1
i
m Owner
Address',
Address f'k--' ,
ApprovedA��
B61 INC INSPECTOR-
RECORD OF INSPECTIO APPROVALS
FOUNDATION
D TE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
CERTIFICATE OF COMPEL TION
BUILDING INSPECTOR'S OFFI
CITY OF CUPERTINO
Date .... ........... 195 ... .. Building Permit No.
The Building Located
Owned by ..... =eis r!;wt ...... --------- .�7
... ........................
Has Been (Completed)
For Use A ........
..................
(-tAM0.
----------- ............................................................................... .................. - ............
................. .......... ............................................................ .................... ..............
4F
IlU1L
..................
DING INSPECTOR
102 2/59450