140 (2) { , /Ui LOT NO, �• oyJJ
ET
21 54 PP ICATION 'FOR BUILDING PERMIT
CITY OF CUPERTINO
Date- •�-1" ` 195_ Permit No.
Application is hereby made for a permit
a
story, PC u Building
at
to be occupied only as
in accordance with Plans, cifications and Plot-Plan filed herewith. ��YY �
Estimated Value of Improvements,$ /A eq 0Q Fee$—o�Q--
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws-applicable to the construction, location, and use of buildings within the City of
Cupertino wiLLbe co.TpKed with.
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F
In Owner C't" L4s�s � �
By t� 2. �" ' Address
Ta TO , A� ��•• y ,LJ_
• Phone (c> Approved G✓.�J �,�..tr<�
- ` - .BUII:DING INSPECTOR
- We.• '.fit a - \
.-
RECORD OF INS CTION OVALS
FOUNDATION
D INSPECTAR
FRAME alt!
SPECTOR — 7•..r
LATH and PLASTER ~
A NSPECTOR Jy.v
FINAL BLDG. •c•;
INSPRCfOA,• '
FINAL ELEG
7'E INSPECTOR
FINAL PLBG. oIC
TE INSPECTOR
t
FINAL GAS
ATR ; INSPECTOR ; 'a 1
CERTIFICATE OF COMPS ION
BUILDING,INSPECTOR'S OFFICI
'CITY OF CUPERTINO
)- �)
Date ..�.N.f!fCQ�.. 4^./...,........... 195.. .'1... Building.Permit No. :./f.0
The Budding Located at ��a�•5, .`LC ;9" p,{yt _.,;•..
Owned by .....1..%? t �
Hm Been (Completed) ..� • '~ `""
�. For Use A As: .. ..!.. _ .
..................................................... ..... .........
.
...........
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RUILDING INSYGCI'DR. .;.�'-.�� .y .
102 2/59.250 � � ��i.�• ,