2139 (2) ' /C/�"W/ •.. /'�.-Ci tYG%i:.L�i C' l LUT NO.
NO. SYPEET
2,1 S.5 ! APPWC TION FOR. BUILDING. PERMIT
CUPERTINO
,)1T5Ir Permit No.—_ --2 /—
`y Application/ifjhe,qjby/�d6IfoVr�pe�tl
lY,/
a SI_ story,Type Building
at l i
to be occupied only as, /
in accordance with Plans, Speci_fica tons and Plot P an filed herewith. _
11'R Rte_
u
Estimated Value of Improvements, $ _ Pee$
y It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable .to the construc on, location, and use of buildings within the City of
"I Cupert� mplied
in Owner Address _ tt-i,
By / Address
/J fONTRA TO GENT U —�—
Phone //+t. y�r/l Approved
BUILDING INSPECTOR,'
RECORD OF INSPECTION APPROVALS
FOUNDATION INSPECTOR
"TE
INSPECTOR
FRAMr: �
1
ATF INSPECTOR
LATH and PLASTER _
nra INSPECT
FINAL BLDG. j
n BATE n�NSPF.CTOR
FINAL ELEC.
DpTR INSPECTOR
FINAL PLBG. cl
nT6INSPP.CTOR
FINAL GAS
Al F INSPECTOR
CERTIFICATE OF CON//,IL'ETION
BUILDING INSPPCTOR:S OTTICL'
CITY OF CUPERTINO .
Date .., y/ .... ......... ..
'195 ,L... Building; Permit Nwo aj.�
The'Building Located G! ! J_1 !A
w'nect by .t' `f ,.{�' ✓, ✓'i�.�gJ,1'Y aYv i(./ .
(Completed) ,. �- . /Has Been Iror Use As ;i > `
.(..4,,t.At9d) f7 ... _ ..
.......... . Y' .i `
_ __.....,._:_............................_......:;.•
....
.... .. .. .. --j. ... -
HLIILDING .INSPFC'I'OIi-�
102 2/59250 l ^�;z ,+ L�•'��^ - � ...