107 tY 3 86�
l� Lor No. � (�
NO. 4 !E
21 r� 4 ICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date
195_ - fJPermit No.
lApplication is hereby made fora permit to �e
a_�story,Type 45- Building
at // q
to be occupied only as
in accordance with Plans, Specifications Plot-Plan filed herewith.
'v Estimated Value of Improvements,$ Fee$ X 2—
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all othe laws apQ� to
the construc
tion,, oca[ion, and use��ildi withieCity�
Cupertier la I b plied wi
.0
Owner AddressBYAddress
� � /f SCO AC R -,/. 1 C
Phone/V Approved�f
BUILDING INSPECTOR ",j,
A
RECORD OF INSPECTION APPROVALS
/ a
FOUNDATION 31919
ATE INSPECTOR
FRAME 3
TG INSPECTOR
LATH and PLASTER
ATE INSPECTOR
FINAL BLDG. 9
TE INSPECTOR
FINAL ELEC.
D TB Q INSPECTOR
FINAL PLBG, J
O E INSPECTOR
FINAL GAS � -
,DATA / INSPECTOR
� l
CERTIFICATE OF GOMPL i-ON
BUILDING INSPECT'OR'S OFFICE-k' . ,
CITY OF CUPERTINO l'
Date ..�./r.-fvlr—... /..t.••...____•..•, 195.. Building Permit.No. • ,! y, 1
The Building Located at �.��
//
Owned by ..... ./X�'I
(Completed) �f �f
Has Been P ) Por Use As: .........�!!:.•,. ,/•i�/..+'+'
........................:..............................................fl.•.___........... .........0..........................
...........................................................:
.................................................:......:.............................
.. 5t••e 1. r!b+�d. ..
...........................:............................ ............................................... • .. • .
.....
u ` .�!•r� 'BUILDING INSI'ECfOIt
102 2/59.250