146^-� LOT NO.� v
NO. STA F,F. '�
APPLI ATION 'FOR BUILDING PERMIT
2 s�i ' rt)-CITY OF CUPERTINO
Date 195_ Permit No.�
Apphcationis hereby made fora per
a_O!Lstory, Type ., Building
s,
at
to be occupied only as
in accordance with Plans, S ifications and Plot-Plan filed herewith. ''�� ��yy �
,,. Estimated Value of Improvements, $�� 00 Fee $_off___=_
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appligNe to the co_pctruction, local and use of buildings within the City of
" 1 Cupertino yRlykl� cclpjtfi' with. �!-•/
ul Owner ` Address J_3":7
y
by Address
_O=T
RA T A G T J�
Phone__-.'�� Approved Z/,�y1:G-,.,�.s�—
BUIL-dING INSPECTOR `%jn
RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
CERTIFICATE OF CONtLETION
BUILDING INSPECTOR'SFPItE
CITY OF CUPPRTINO111►11
Date ........%•
�........., 195...1.... Building Permit No..
.The Buil8ing Located at ...��. ._..'
................
.0wned b t -''-G'. ...... '
(Completed)
Has Been For Use As:.......:t.: % .r✓
.(,,,Altered) � ...........� �......
....................................................._........................................................,
Y
..................................................................................................................
-�J02 2/59.250
I. BUILDING INSPECTOR