2179 -LOT NO. • fi
. No
W i APPLICATION,. FOR,OUILDING PERMIT
a 2 2 'jr
-� o CITY OR, ERTINO ,
o j Sanitary No. Ivo , `'
a
w 4 Dare ' ^ / --30 1463 . (' Permit No..
: o +
°o Application is hereby made fora permit t
<ul "a story,TYPe c'O`"�" � Building.
ato be occupied only as ^
tj
o °o in accordance with Plans, Specifications an lot-Plan.filed _erewith.
> ; Estimated Valde_of Itnprbvements,$,vx 6. n o ri .— Fee$ '• e'i
i J It is hereby agreed'that.the requirements of the,Gupertino-"Buil diripy an iZonlrig Ordinances and
j,z all other laws'apglimble to the constriction, location,-and-use,of- build ing0within the City of
o Cupertino will bettomplied with. '- ,• v: .y + t' p ..
3 ' nerrAddress�
W w By .. s Address f
one
'~ tate License' '1 4 Q' S,,` ' BIIi.DING.INSPflCTOft
RECORD tO.F INSPECTION APPROVALS
FOUNDATION �� ' 7' 7
T
DATE INSPECTOR '
UNDERFLOOR
DATE INSPRCTOR
FRAME v
^¢ ` DAT[' 7 'INSPECTOR
LATH and PLASTE4 7 7
4 w{ 1
DATE INSPECTOR.
17INAL BLDG.
;' DATE / INSPECTOR
�FINALELE,C.:.,i -[ -CL A
o IN PECTOR
1\ FINAL PLB(,. F .` '�`, r 1 �i'
^ `I / DATE 1} ppINSPE&OR' 1
` r FINAL GAS
"` Y 1 RATE � INSPflC.TOR
CERTI-FICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFF CUPERTINO'
Date .............[. I. I/... . .I� 1 .•• f _ Building Perg7it N4.at..f.. .....
�'} ^�j.�Lam- G(
The Building ated at .....�: 2— r� .. L.....j �.........
Owned by ..... . ........:...........
;i Has Been , Completed For Use'As.
:%. �a. ...............
.� ....................
(,(Altered)
................:........ ................................:..._:..........,......;.......;....-..:...:....
............................................................................ .................................................
�S6 BUILDINGNS CTOIt."
102 7/63-500