144 4
n.'I�I I• ZC LOT NO.
NO: STRERT
2154 APPLICATIO FOR BUILDING PERMIT
CIF CUPERTINO
Date 19%�_ Permit No. Y"
Application is hereby made for a perm' o
a �_story,Type Building
at
to be occupied only as V
in accordance with PlanJSfi4catunsa�n�Plot-1ilan filed herewith.
Estimated Value of Improvements,$ 1,-2 D OO Fees
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other &.eith.
'struction, lova ' n, and use of buildings within the City of
CupertinOwnerAddress By� Address
PhoneApproved B LDINGANSPECTOR 'J.�
RECORD OF INSPECTIO APPROVALS
FOUNDATION 7
DATR INSPECTOR
FRAME
ATR��d�
INSPECTOR
LATH and PLASTER
/ATE / INSPE OR
FINAL BLDG.
fi INSPECTOR
FINAL ELEC.
DA INSPECTOR
FINAL PLBG. �7
D NSPP.CTOR
FINAL GAS 2� —
DA I. INSPECTOR
CERTIFICATE O
t , . OMPL:E'TION
BUILDING INSPFgJOR'S OLCICTy.,. . ==
CITY OF CUPERTINO
rites. t /
Date ......................._'.`�.'y...---........, 195.. .. Building Permit No. .!.`.�.�........
The Building Located at ..279.(Y...-..,,.A_!•'r'..%!:::.....
Owned by .... '. . A•c: '.i -!_•i'sx..r.--.l:eir'.:�,.
Has Been (Completed)Ampled For Use As: : '.................................
V
' p
................................................................................................................................................... f
......................................................................................1'.q..�.......... 1.... .11.1.....................................
���.......`. �`"�..:te��....-..�.�:_:1111:•,.
ll4
BUILDING INSPECTOR
102 2/59-250 � �}• /
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