1919 ..,Z.T"T.+.fLOT NO.
Ji; • s�
Na STREET y r• •c +.
::APPLICATIO BUILDING PERMIT
CIS CIARTINO 1 't
Date, 2, < 95,1 Permit No. l / <7r . •`
Application is hereby made fo ' per to
a story, pe Btiilding
♦ '1-
at
to be occupied only a`s --rves,
in'aecordance with Plans, Spec ficatiq and.Plot-*an filed heiewith.,i t
. Estimated Value of Improvements,$ AR, Fee$
a^It is hereby agreed that the requirements of
64 Cupertmol Builds and Zoning Ordinances and
pa +all 'other .laws applicable to the construction, location,Band.use`of t ildings•within .the City of
•Cupertino will be mmplied with.40
v� I nei
�.
-OR AGENT,4
Phone Appioye t 4d. , 1 ,
� "` •r< q s .l. _ BUILDING INSPECTOR '
RECORD OF INSPE TIO APIDDOVALS
FOUNDATION
.A, D_/ INSPECTOR
FRAME .. �
FRAMI
D TR' NSPECTOR
LATH and PLASTER'
DATE SPECTOR
FINAL BLDG. n ---
DATE NSPF.CTOR"
FINAI.ELEC.. �
DATE / INSPECTOR
FINAL PLBG.
DATE ECTOR
FINAL GAS
DATE INSPECTOR
CERTIF,ICrAlI OMPLETION•
p'
gBUII;DING INSPECTOR'S OFFICE
CITY OF CUPERTINO '
Date !.. to 19f Pudding Permit
r - - ..
i
Tho Bu,ldmg
;F Owned by . .t�,�r =-...
` Altered + ✓, - r .a
L; Has Been Use Use As. ----......;.:-. - ;........_.
a �
to
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to .
,r BUILDINGT,INSPF,TOIj f "•
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