106 LOT NO.
NO. STREET
2154 APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 195- Permit No. /Dl- .
Q
Appli¢3tttSn is hereby made for a permit to
a story,Type Building
at (/
. ,.. .. to be occupied only as .Vj - I/l..tCq
in accordance with Plans, Specifications and Plot-Plan filed herewith. q
Estimated Value of Improvements, $42,D DD Fee$ '26 -
y It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.a all other laws appl'cable to the constructio location, and use of buildings within the City of
Caper tin 111,
pliediol
vi OwnerL � Addrese� vz 3,-4 tT f
By * C Address
ONT CT GENT (. i
Phone '7► �2l Approved Ceido
Bm1BINr INSPECTOR Sri
RECORD OF INSPECTION APPROVALS
FOUNDATION —
_ DATE INSPECTOR
FRAME -�i
�
ATE SPECTOO
LATH and PLASTER -- INSP1; al -—
nr
FINAL BLDG.
// ATfi INSPECTOR
FINAL ELEC. __(P
lelI
--- INSPECTOR
FINAL PLBG.
T INSPECTOR
FINAL GAS
DAY( INSPECTOR
CERTIFICATE OF CO'?APL•C-TI"ON "
BUILDING INSPECTOR'S FPTCF.,i ' I
CITY OF CUPERTIN
Date ....... :. ::... .:..._f 7 195.-.';f.. Building PerrJNo.
The 13nlljing Located at / '
Pe ' +T'i �� �.J . + w
Owned by ..../!...,.+ .r.;i�i::..! f.•::' !?'..�%<.7..1• -..
(Completed) �1/y
Has Been ( For Use As: .....:.. .. .. �.ley:,.:..............-•---............b
r
............ • • ... .... . . 1•
............................................................o: /y
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102 2/59-250 '' BUILDING INSPF;CI'OR,%.,: