395 LOT NO.
NO. .. - STRIlRT
lA LI �Y ON FOR BUILDING PERMIT C7�GJ
B n1.
ITIY- OF CUPERTINO
Date f I 1 <'a� �. 195_ Permit No._
Application is hereby made for permit toT A0,
�� Y
a . AlPsto y,:,ryP.-.'�- >Q� Building r
at �� //
to b occupied only as=� 6lLS
in accordance with PlanSPpecifications'and Plot-Plan filed herewith. ��fd
Estimated Value of Improvements,$ Fee$
v
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and s'
all other laws applicable to the construction, location, and use of buildings within the City of
,-j Cupertino will be^complied with.
Owner r _'� /Y7��1 `r?JTGC..Addressa l�l e
By Address 5, r
CONTRACTOR, AGENT 1' r
Phone 09 �� APProve
'BUILDING INSPECTOR -
RECORD OF INSPECTION APPROVALS
FOUNDATION
--yd� INSPECTOR
FRAME
DA INSPECTOR
LATH and PLASTER 2 _�
DATE" INSPECTOR
FINAL BLDG. ,
ATR }NSPP.CTOR
FINAL ELEC.
ATE INSPECTOR
FINAL PLHG. '
A a INSPECTOR �
FINAL GAS �
DATE INSPECTOR
1
uy' I
CERTIFICATE OF . C ^� L TION
BUILDING INSPECTOR'S OF CE,t
3 '
CITY OF CUPERTINO
Date ._..� .. ............... .. ...�. . �Building Permit �.
The Building Locale t . ..Gr'z, �y. 4 ...... .. ......
Owned by ....S. ....... 'Q .... ..r. ��!
(Completed)
/T
.Has Been (,Altere+} For Use As: ......, 5±' G•. .. .................................
L .... .................................................................
' ................................................................................................................................................
...................................:.............................................r�.. .............: ......:...............
oi:
..........................:.: .
BUILDING INSPECTOR
102 7/59.500