750 (2) / / , LOT NO. /6.�R
NO. STREET .
APPLICATION FORS BUILDING PERMIT���t�) ,
CITY OF PERT[NO
y ^
D: ' 195 Pert
e�ehvmad rI permi < o
a tY story,'TUyype Building
at CITY OF CUP
nt��
2 to be occupied only as l !
i
in accordance with Plans, Sp ffications and Plot-Plan filed herewith.
�3oQ0 00
Estimated Value of Improvements, ,$ Fee S
u
c It is herchy agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws aplivable to the construction, location, and use of buildings within the City of
wdl mpl ie with. -
. �� e-
'"
By �v Address sus
COp TA
Pilo Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION -
DATE ` INSPECTOR
FRAME
D TE INSPECTOR
TAL H and PLASTER ^/�
INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL.ELEC. 1
DATE INSPECTOR
FINAL PLBG. 1
DATE INS PFC'I'OR
FINAL GAS 1
DATE INSPECTOR
e Lgi .-z
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............ ...................... 1910.. Building Permit No 4�10
The Building Located;a ..
..... ........
Owned by .... v
..ie
Completed
e )
Has BeenQl(�m�t For Use As: ........,
.....................................
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.................................................................................:......... ......*..............**..........
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. ........... .........................
UILDING INSPECTOR
102 7/59-500