112 (2) LOT NO. 3
NO. - tSTRT154TION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date_ , 195_ B Permit No. / •
1 • _ : Application is hereby made for a permit to
a story,Type -'51 Building
at
to be occupied only as
in accordance with Plans, Sfiecifications and Plot-Plan filed herewith.
a, Estimated Value of Improvements,-$'�2 in w Pee$
v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws a cable to a construction location, and us ulldin within the City of
'•'1 Cuper[i 111 gal
tv'�p _ y �-�jb
Owner �� Address
By IF. Address
f+°NTR OR, A NT
Phone �/�- •`G- Approved
BUILDING INSPECTOR �r�`
RECORD- OF INSPECTION APPR, VA�LS
Y^
FOUNDATIONr(VE' INSPECTOR
FRAME
QR Nsrcr.Toa
LATH and PLASTER --
--(�' Ta INSI'IiC'!OR
FINAL BLDG.
INSPf:CTOR
FINAL ELEC.
D-/ 9/ INSPECTORS`
FINAL PLBG.
EAATTE {p� INSPECTOR
FINAL GAS x��'
/DATE � / / INSPECTOR
CERTIFICATE OF CO1ION
BUILDING INSPECTOR'S OITI
CITY OF CUPERTINO
Date ..f......4. ...... ............. 195..`f.... :,Building Permit No. .. ::-.' ---..-.
The,Building Located at
......•"/1. .�/t;+`,.r�. ?'.': ;f «.JI . . '
�...-. _ .........
Owned by .... / .� '. '.. .11 .i;
Y
Has Been (Completed) For Use As:
..:...t: t.;tf... :-.'.if.'f�': ....._................._...:...
(.Altered')
.. / • u ,�
n
BUILDING INSPECTOR
102 2/59-250 -
,1