240 (2) /��l ,/ %-r�IG-G L•':f [��. LOT NO.
NO. 1 "ST EET d
2 1 5 A'OkICATI N . OR BUILDING PERMIT
4.4 ' '•" CITY F CUPERTINO
Datal'N Permit No: 2
ly/ r'a wed rc� I �':�.
1 Application is"hereby made for a permit tto
a / SI A.Re 3 9959 1
ry yP Building
at
to be occupied only a' Lit i'- r I 1 e-!6sc
in accordance with P r _
fans, Specific Ions and Plot-P n filed herewith.
Estimated Value of Improvements, $ �'tl"�C�-C1 U 'Fee$
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws appi,cabip to the construction, I ,tionand use of ildings within the City of
Cupertino/,'�'yT/e�oIn d with. e//pca
in Owner �� t i> Address ^✓�' 2.e
By Address.
' ONT�^C�T ENT
Phone �'/ -'� � Approved
-Tri).DING INSPECTOR
RECORD OF INSPECTION'APPROVALS
FOUNDATION �Cstl t�Cep°
D RINSPECTOR
rRAME
ATE, INSPccTOR,. .
LATH and PLASTER �EAT INSPECTOR
FINAL BLDG.
9 � l
GATE INSPECTOR
FINAL ELEC.
D TE INSPECTOR
FINAL PLBG. F
� DAT � / INSPECTOR
FINAL GAS
ATE I INSPECTOR
�l
I
"• CERTIFICATE OT C'OMPL'ETI'ON , . ,
13UILDING INSPI:CTOR'S 01:FICF
CI"f1 OI -CUPI RTINO .,
Date I)S , Bu,ldmt, Permit No 45�
The BUildin i oCted . .
.at l+% .. •`„" 'X.t...t'"�� f �7 �' •• '
S w..s-r• /�rt11: a ..... o....._
J ,,r•
Owned by .:' �' LGG ✓f"�1i d, $:2-'`tltf
tel./
',(Completed)
Has Been For Use As--' ^ '✓
( Altered•)' '^.
"
.................._......
w ...
102 2/59-256, - ,r �fRUILDIM INSPICIDR - -