110 LOT NO
NO.
15'4
.` P GfCATION FOR BUILDING PERMIT
CITY OF CUPERTINO
~ ,Date . .t• - 195_ Permit No.
Application is hereby made for a permit to o�
a story,Type 9-•0 Building
at
to be occupied 'only as
in accordance with Plans,ISpecifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ Z-2 e'I e) Fee$_02
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
u Cupertjno• Il bac mpliedw�i!!th. '.
v> Ownet✓
-Address 7
NTRACT AGENT
Phone �� Approved �-
OIJLLDWG INSPECTOR, �
t
RECORD OF INSPECTION APPRO. tS
FOUNDATION
;YtTE INSPECTOR
FRAME
T1 INSPECTOR
LATH and PLASTER
A E INSPECTOR
FINAL BLDG.
ATE INSPF&OR•
FINAL ELEC. r ¢
ATE INSPECTOR a
FINAL PLBG. /
/Dy/P�E n INSPECTOR
FINAL GAS �// 1 / `� �t�
DATE INSPECTOR
t
CERTIFICATE OF COM ION
BUILDING INSPECTOR'S OPF CE
CITY OF CUPERTIN_b.
Date .....5.✓...�L:'<!.r? ! _....... 195_`x?._ Bm ding Permit No. .'
The Bu ding Located at �`'""�' � :� '" � i "~ . F f .
V,
Owned by .... .'✓if �... .
Has Been
(Completed)
For Use As: .....
..._.................... ..._..:..............._ ....................../.......................................................................
...._.._................_............_.......--............._:..._.......................c.;...._...................................---
.
102 2/59250
�r UILDING INSPECTOR