872 (2) LOT NO.
NO. sTREET
M • APPLICATIMFOR, BUILDING PERMIT
CI OF CUPERTINO
tt Fes,
Date `�°'`�•, 1Stj5C Permit No. _
Application . hereby made for a permit to
C eliu
\ a story,Type Building
at
to be occupied only as
in accordance with Plans, Specifi ations and y Plan filed herewith.
Estimated Value of Improvements, $!/ Fee$
u It is hereby agreed that the requireme is of the Cupertino Building and Zoning Ordinances and
aal other law_ s�plicabl the n ction, location, and use of buildings within the City of
Cup mo i1Ji.R���!"omplie i
in Owner Address
By Address L
O RACTO AGF.
Phone Approved $
BUILDING INSPECTOR ,'p�
RECORD OF INSPECTION APPROVALS
FOUNDATION —
DA R INSPECTOR
FRAME
D E INSPECTOR'
LATH and PLASTER Z A —
DA � INSPI!CfOR
/ 'L
FINAL BLDG. Z 7
D R INSPECTOR -
FINAL ELEC. y5/
DA7R INSPECTOR r
FINAL PLBG.
D T 1 PECTOR
FINAL GAS 0 a
D E INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... ................ ........ 191. Building Permit No. ......................
The building Located ..............
Owned by J
------ ........ ..... ........ ... . .. .............................. ..............................
(Completed)
Has Been For Use As: ................
(Altered) ...............................................................
.... ................. ................................:.................. ...:..............:.................................................
........... ................:....... ........... ........................................................... ............
........................................-------...r ........ ...... .......
.. ..... .........A�
102 7/59-500 INSPECTOR