139 I t
OT
g
NO.' sTR1:ET
2154 rI LICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
f
Date t 195_ Petit No.
Application,is hereby made for a permi
a f story,Type Building
at..
to be occupied only as
\ in accordance with Plans, S ecifications and Plot-Plan filed herewith.
Estimated Value of Improvements, _. Pee$ �
vIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.-1 all other laws applicable to the construction, location, and use of buildings within the City of
CupeFti will mplied w'h.
owtfef 4 c c�c ` die'sf
BY - "Address �f
CON��f,
Phone�i� /-���� ApprovedG����_�r�i�,�L---�
BUILD]NG INSPECTOR 7yt,
RECORD OF INSPECTIO P ROVdL
FOUNDATION
A R Iry TOR _ '
FRAME �G k t
E INSPECTOR
LATH and PLASTER I- 4,14 '71;. ;
A INSPECTOR
FINAL BLDG.
ATB INSPECTOR !
�• ,! ^.
FINAL ELEC.
TR
INSPP.CTOR •1 :.i�A
G9 7a
FINAL PLBG.
D 8 INSPECTOR
FINAL GAS �� "'•'°`';';
DATE INSPECTOR i�l
t.
CERTIFICATE OF COMP `3�' N
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date . �I�/°'!'1-�✓.. 1.............. 195.. .. Building Permit No.
The Building Loc a ed at ...1��-11.
r J ..:.... -- t-....
- i--
deb Com l/eted-
( P --For Use.. ..• r✓"?c'J!*.6. :?P.r-...1...,c>:'..,,i ' ....-_......--.._.---
His
Owned )
..................................... ............ /
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-��� BUILDING IMPP.CTOR
102 2/59-250 '