2117 190/o/ I J ol-)C/SJ %XIVC , LOT NO.
m <
NO. STREET- � "' ' .} ' . 'n -
a Sd;APPL�C�I 1 N FOR :BUILDING PERMIT
° % /ii CITY OF CUPERTINO
3 jU&Mta
�„� STnitary No
W „ Dare �� , 196a.,•`t' ' Permit No.
I/7
10
'o a PA`/pplicatvnas Pere l yAlade for a permit to
m a - story,Type 6- - T' Building
WI to be occupied only as
0 0 in accordance with Plans, Specifications and Plot-Plan filed herewith.,
p; Estimated Valuerof hhpro4ements,$...._/ 0'� r a
i J . Y It is hereby agreed that the re'quirements'-of the Cupertino Building and-Zoning Ordinances and
* z.' all other Ixws applicable to the construction;-location, and use of buildings'within the City of
J o Cupertino will be complied with. , - - '
3 N ' Owner `Q1T2- CRAr/Lr Address SBS. W? r�S7a"7 J--.r
w z
W d By W.G. i� B�!L�.—_ Address
I a U ' Phone .153"811003 'r
r� Approve'
State License /77/}/" BUILDING 1NSPP. OR
RECORD OF INSPECTIO VALS
FOUNDATION,
DATR � INSPECTOR
UNDERFLOOR
DATE INSP[CTOR
FRAME
f
DATE INSPECTOR
LATH and PLASTER
' DATE INSPECTOR
FINAI. BLDG. '�� �1 '� 7
�+ y
DATE INSPRCTOR
FINAI,ELEC.
DATE �} INSPECTOR
FINAL PLBG'.
DATE '��Sy :y IrSPECT�v
FINAL GAS
DATE � IN9PRC70R." � j
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Dat
Located
g c `.r
Thee�Buildin-.-..•...............................................
19.......3. Building Permit No.�:�;�..+...1..".�...
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Owned b
{_ G►r
" y (Completed)- D `�
Has`Bee -- (Alteredj" F ...iJse As: .......:..::.....................
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' •l02 1/63-500 '• i. - '"BUILDING�fAI _ ECTOR