109 c�s� /LOT NO.Z
NO. ST EET
21 5 4 APLICATION FOR BUILDI G PERMIT
CITY OF CUPERTIN
IDate 195_ Permit No._/e51_9
Application is hereby made for a permitto _461n
a�_story,Type ;57a 4 Building
at
to be occupied only as aU C
in accordance with Plans, Specifications and Plot-Plan filed herewith. ,q
u Estimated Value of Improvements, $ 1A 1900 Fee$ --
y 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 buil withi he Cit of
Cupertin ill b complwith.
BY. ' �� � Address � 1llst..t
ON RACTOR P,NT /
Phone `Approved 1 �f�`�iG.....<.�,ri
BOILpING INSPECTOR h�
RECORD OF INSPECTI APPROVALS
FOUNDATION
JATE INSPECTOR
FRAME `
ATH SPECTOR
LATH and PLASTER
�113
INsvIFINAL BLDG. INSPECTOR
FINAL ELEC. �9 J
p1GY p p5, INSPECTOR
FINAL PLBG.
.ATE INSPECTOR
FINAL GAS /
!O o .0
DATE / INSPECTOR
.r. i
CERTIFI AITE OF COMP. L •TION
BU DING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .. :.-z- ,.......�y.............. 195. ?-.-. ,Building Permit No., �. -...-. '.
The Building Located at .._!h 1.` ......... ff.f:. .
. ._.:.
Owned by l7.!
}
Has Been (Completed) For Use As: ._------ .L. .f!" {,.__
(.Altered,l ". tet' .........
.. ................................_....-. ' ,
• .._...................._........._......................_......-,......-....-......_........................._.---:................-.._.._..
.. .. .. ...... ..........
• °•✓ BUILDING INSPECTOR
102 2/59-250 ,