2043 (2) 2 ` 0 LOTNj
,Z Z PLI TI 3 OR BUILDING PERMIT A7
x ° ��C�4 �� OF•jCUPF-1�TI -
3 a w Sanitaty No.
U
wDat �6Permit No.
� o
o i Application is hereby made foi a.permit to dOAOe-
i in `a story,Type a ` Z V • Building
to be occupied only
00 ih accordance with Plans, Specififatlons'and Plot-Plan filed herewith.
Estimated Value of Improvetnedi ,tJ 71 trb7b Feet
i J . It is hereby agreed that the require., of the Cupertino BuildinP, and 2oning`Ordinances and
j Z :all other laws applicable to the construtiioh, location, and use of buildings within the City of
d,o Cupertino will be mmplied.with. '
O erT)rzep Cls 'W Q Address V Aa MAT14ILLIA
¢'a ,By - Address
<,o
_U n . '1 Approv
B II
,'State LICenSPJ j NG NSPECTORn.
RECORD OF INSPECTION APPROVALS ,
FOUNDATION DATE -
DATR INSPECTOR
UNDERFLOOR
DATE NSUCfOR.. _
FRAME
DATE INSPECTOR
LA d PLASTER
DATR INSPECTOR
o FINAL BLDG.
DA �p/yam/�/y�/�
,JnT6,/ INSPECTOR i
FINAL ELEC. JT�7 3
/DATE NSPECTOR
FINAL PLBG.
DATR INSPECTOR
FINAL GAS
OATH INSPECTOR i
.++n'. err i x+y: n ! ? y :,r �_, ;.r; V mx .:i,: r •K 'ti�',
••" I t�
CERTIFICATE ` O'F'' COMPLETION
BUILDING :INSPECTOR'S SOITICE '
CITY OF:'C' -ERTINO'
TheeBuildin Lotat a...... 19.. Build' Permit NoDat �
« 4✓..... G 3
;Iwi10wfied:Sy .
mo ed ... ..........................
,i
Has Been.. •or P. ., . .............................. . ...
Mtf?.1: .... ..... ..........
Y ..................................................... .......
O
BUILDING INSPECTOR
102 4/61-500