1917 STREET
k.` rw APPLY Atl ' OR BUILDING PERMIT
C. (�F. CUPERTINO
' , •:!. + a
if
Datgt 'ti(,� •195'_ Permit
Appiicatibn is hetEby made'for a permit to
14 lar 4„ A story,Type • T X lir n /C'/3/T'' Building
x
to be occuptedsonlyas
in accor'danceiiiih Plats,$pecificat .ns and,Plot Plan filed herewith. ,
,Estimated Value of Improvements,$ ?rA dee$
It is hereby agreed that fire requiremenbild£the,CupartinoilVuildi,gignd',Zoning Ordinances`and
all other ylaws applicable to-the:construction,`location •end,gie of.liulldihjs within. the',City't of'' 'r
Cupertmgwilldiecomplled,wdh i � -� ' {j' j + 'i
�,;. AddreiK4
ry t, , I AddreM4 a CONi'RA ^ R AGENT r.�..
Pkone ApProyed ?j ! h-
r
•tom i 6. �,; �, ' V BUILDING INSPECTOR
6 RECO'9D,:OF INSPEC APPROVALS , r
1.OUNDATION ,T 3-2 —
DAT ffilNSPE�CfOR :
FRAME
+ D TH INSPHCTOR
LATH a PLASTER
DAT/E� '. INSPECTQR
FINAL BLDG.
..
DATE / INSPECTOR
FINAL ELEC '.
DATE INSPECTOR
1
FINAL PLBG. ;
t +' PATH �'/ INSPECTOR
FINAL GAS
..'ATE � INSPCCTOR '
CERTI,FI•C,ATE;"'O"'F COMPLETION
BUILDINGi, r;EOFFICE';,
CITY.OF:&LPE IO ;Pr' tta
//pp✓✓ ;:. = /
is Date ......... � d
`... ; ......
2.......... J g Permit No. / .j�.....
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(' The Building located,aty� .. ....19 ` + •.'�w tildin
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' Ownedby '. ..f. .. . . �g
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hgas Been mFlee ForlLlso'As:...:.....:..: ..,..�._/��..'................... ......
v'r^,- - ter
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BUILDI(.IG.,INSPECTOR
102 4/61-500 ✓' r• E