400N1 _ 'V %
0�N�/-J/. STREET LOT No.
NO. / STRHHT /
APPL'1CTION) � F�QR BUILDING PERMIT
�� �- CITx OF ICUPLRTINO
Date l t l�!^1 to ��_�� 19� Permit No.
Application is hereby made for a permit to 'eW.4 7:14
a _ _ Story, Type Building
at� �..��,x..P
to be occupied only as
!1,, in accordance with Plan ,Specifications anA Plot -Plan filed herewith.
Estimated Value of Improvements, $ - Fee S_r7.
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Ill other laws applicable to the construction, location, and use of buildings within the City of
"I Cupertino will be complied with. • I
'/.,:
� Owner � '?' �,L'--^ Address% ��L C /fin tt_ccn ..r?[/1�
By Addres.-::z "A
/ `jONTRACTOR, AGRNT, '
Phone
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVAS
FOUNDATION
D E INSPECTOR
FRAME ^^
DATE INSPECTOR
LATH and PLASTER ��
DATR INSPECTOR �.
} II
1 FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
J y I w Y
DATE INSPECTOR
FINAL PLBG. �� ` 1�
DA
�� INSPECTOR
FINAL GAS_✓' _
DATE i/ L INSPECTOR
f/� 'la♦
CERTIFICATE OF COMPL�T -ON �_.
BUILDING INSPECTOR'S OFFICE'u ,
CITY OF CUPERTINO
..........`............... ---
..'......
... Building ermk No...... /4Z j.....
The Building Located at ......!rC?e...::.......................................
r...................,
Owned by .:..:. , ,..... ............................
(Completed) ; / t
HasBeen (Altered) For Use As: ........................................:.....................................
102 7/59-500