2416 i/3 aO LOT N0NO, STREKY .
yy )
W'� i4PPLICAT F rpt IUILDING PER
a
MIT-
am 2^,
0 a l " , Sanitary No; OO,
iw ;Date. ' - ,::2 ',.a�� � Permit No.
0 0 ,+Application hereby made,forpt rrn to •
i in to iY;TYPe=, �-a _ t,gldmg
W I . to be occupied only as-
y,
s
0 0,t-!n Accordance with Plans Speci,fitationstd AIo6P filed herewith.
'l
Estimated Value of Improvements,$(7" ,_Fee$ �� . - µ'QJ.
01 .
Z, It is htieby'!agreed that the requiremedts'of the Cupertino Building and Zoning Ordinances.and
^2 all other' law's applicable-to the constru tftin,•docation, and,use of'bui ldings within 'the City of
- 0 _ Cupertlrfp will'$$ complied with, -' �.; , •. !7$'; , 1
-+� Owner 2; + :Address „' ct ` 1
W z
W.d .By c ' Addre'ss fi,' ,r.1 ?
u •-
U Phone 'a Approve
St
, r't 1 .. ..rt '
ate License �` k BU
11.DING iNSPOC
RECORD OF INSPEC ION APPROVALS
FOUNDATION L J
s ± DAT!! '• INSPECTOR
UNDERFLOOR
DATE INSPPCTQR.r
y��r•;"�•
\ /e - 7 - 3 e ,
t
FRAME y.,
nnrr, INSPECTOR' •� +4p�.� _ Iti
5
AT PLASTER 3D
DATR INSPECTOR
✓
T� w
M AL BLDG.
\I DATE (+, INSPECTOR tw....
TINAL ELEC. I Z j• ' ��a i•.
�e•
DATE I. INSPECTOR ;, � ;
-7
NALP G. r (� � �Y "� � _ o" r"}i••
DATR INSPECTOR
INAL GAS _E
� w DATINSPECTOR . t�•i
h
CEATIFICATEI: I,� , C,OMPLETI'O;N'. . . '
. � . I UILDING:�aI S •R'S OFFICE'
« `
PTY, tF RTJNO
r v.�
„
Date....:.....= ...... .. �........:�:, 19... .�.�-� .Building.Per it N
• The Building Located at
Owned b .................
;(Completed) " .h .Iy '...;h
Has Been cAlter .,✓F r Use As: .-:p.,;...,_ �':!Jr .^-..1.................
h '
..)V S..I.. .
• ``
I.......�...`.AI!..-. ..../ .....
..........
I. ........... ........:
BUILDING IN PH R -
102 7/63-500 ••��4�'--Z �. , j-'I'.�•`qrj_ _