132 (2) LOT NO.
TRI
NO. PLfCATION FOR, BUILDING PERMIT
2154 . ;
CITY OF CUPERTINO
Date `, 195_ Permit No.
AApplication is h�reby made for a per _ to
a / story,Type Building
at
Ae occupied only as
in accordance with Plans, Sp,ifications and Plot-Plan filed herewith
v Estimated Value of Improvements, Fee$
u` It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
`e all other laws app(cable to the construction, location, and use of buildings within the City of
LCUP 11 a mplied}yi4h. ¢�td �G p�
V C ` l 4 �7'..>z
to Owner - Address t ! 7
By `Z� �%` Address
ZO
4NTR ,AGENT
q
Phone Approved%
RIJ LDING INSPECTOR >J
RECORD OF INSPECTION APPR041&
FOUNDATION '
3� I _
ATR INSPECTOR
FRAME
DAT20, -/ INSPECTOR t
LATH and PLASTER
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FINAL BLDG. t :►.
D R INSPECTOR •..�
FINAL ELEC.
DAO INSPECTOR �•
FINAL PLBG. ✓
D •INSPECTO(
FINAL GAS
DATE •!INSPECTOR' • �.
CERTIFICATE OF COMPL A'N
BUILDING INSPECTOR'S OFFICES "+'$
CITY OF CUPERTINO r '•�'
Date ...-.In.!:it., :..ti .......... 195../...: Building PermitNo' .. - '
p.
TheiBuilding Located at tf'Jy? y.................
/ �i:...�..�, sem. ..,�% Jw
Owned by .....�.... ..:...:.........:..r.-.:.�1: •-. . .f....�rr:-..-.,..ti-..^ ..........................
(Completed) ` �� .
Has Been For Use As.: ............Y......-...�:--:.-.e-.... ,
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'102 2/59-250 BUILDING INSPECTOR
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