1053 06 LOT NO.-R$„-. _'�Z_ ._rte._.
NO. ST0.6QT' ,
2 15 4 PPLIQATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date i , 195_ Sermi ./D.
IApplication is hereby made for a permit to
�\ a story, Type Building
at
1
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
„ Estimated Value of Improvements, $ Z.2 ()DC) Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.d all other laws applicable to the construction, location, and use of buildings within the City of
Cupertinorvi II be with. ,
In Owner L • GL --t�e �'T1'�ess "00�&'7 '
By Address
N-QtACTOg,. NT.
_Phone Approved
BUILDING INSPECTOR '�.`
RECORD OF
FOUNDATION
3 p
AlAlFRAME
LATH and PLASTER
7
FINAL BLDG.
A�.
FINAL ELEC.
A
FINAL PLBG.
FINAL GAS
A'
INSPECTOR
INSP 'CTOR.
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
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CERTIFICATE OF COMPLOTION
BUILDING INSPECTOR'S OFFICE j' -! .
CITY OF CUPERTINO
Date .... �..[•.r-..... ....Zz.............. 195."!... Building Permit No . ...........
f..i'•.
The Building Located at ...1/?_?/�/)-.. % i��:---"...:----`---•-..la._; ..-.-...........
Owned -'..-•.f...✓........ .....r........ ......Y r;......�yRam:......
..�r. ! ....lei
� 6 n
:..
(ComPleted) :-Pte`-�•
Has Been For Use As: -....- .................. .......
Altered: . r ....•.,......� r'
..............................................................................................................................................
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:.-_.......':�•c•.:. ../rXP :�. �......................:..
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102 2/59•250 ��/ BUILDING INSPECTOR- •..r •.
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