241 (2) LOT NO.�
NO. �TRE 3 jy
2 1 5 AfPL CATION FOR BUILDING PERMIT '
1 CITY OF CUPERTINO
Date . } - I(A Permit No: -
Applicati fi rebyinade,fpta;per fht �/Z.y ��
a '/ ,O, - -Ypj Building
a-1959 AlU11-1
at �!��h
tobeoccupy in accordanPlans, Speafi i tpwPlot-Plan d herewith. c
Fstim`aled Value of Improvements, elL . Fee
It is hereby agreed that the requirements of the fupertino Building and Zoning Ordinances and
a all other laws applicable to the constructio location, and use of buildings within the City of
Cupertin Il.be plied w'
4
W Owner — Address'
By •ci .Address CIZ
Phone c Approved
nOI.DWf. INSPECTOR ����
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA ' INSPECTOR
FRAME
A INSPECTOR
LATH and PLASTER
� ATE � INSPECTOR
FINAL BLDG.
ATS INSPECTOR
-T r
FINAL ELEC.
D 11'6 INSPECTOR
FINAL PLBG.
D T6 INSPECT02
FINAL GAS 7
DAT INSPECTOR
CERTIFICATE OF COMP-
ET_ION
. BUILDING INSPECTO'LR.'S OFFICE, ,
"CITY OP CUI'Eit INO
Dnte .._...,C.. .'_......................... IJS.. r Buildin}; Permit No.
y
The Building Located at /.( s}f''"/i ,�°rLs,•��!/' f.:.,Ci" U
Owned by
(Completed)
Has Been. .w For Use Asi,_..:•:°
:. .
1 ' .
BUILDING INSPECTOR .
102 2/59;250 ✓