410LOT NO.�.J
NO. MEt, C+�
. ,A4N FOR BUILDING PERMIT 7g�
j"LICA J U N ` 1958 OF CUPERTINO J�
Date_ 195_ Permit No. - ! /�
Appl c�' tToY is Wby t�a
story, Type
at
to�D.i
Building
to be occupied only as
in accordance with PlansX pecifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $,X:f S5 r, &--C . Fee $
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 w 111 be complied with.
Owne Address &! L /.L iC7l_iy�i
By l Address
CONTRACTOR, AGENT
6
Phone �� _ �� `t �� Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
ATH / INSPECTOR
FRAME
p� l OTE
� INSPECTOR
LATH and PLASTER 4 /a
FINAL BLDG. /0
FINAL ELEC. 1cf
FINAL PLBG. " j�l
el
FINAL GAS
INSPECTOR
INSPECTOR
91
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... -,,i ------ --- ------------------------------- 195-41 ....... Building Permit No. ....................
The Building Located at A..." ---- A ......................... -------------
-------
-----------------------
Owned .
by .......... --------------------- ........ ...........
..........
........................ .. . .........
Has Been (�-Completed) For Use As: ...... t ----------------------- ----------- ----------------------------------------
Altered)
......................... 11-1 ........................... ............................
— --------------------------------
............... .......... ............. ...... .............. ............................... .....--•--...... : ---------------------
........... . . ..... ..............................
BUILDING INSPECTOR
102 2/59-250
� 7
_LOT NO.-_._
NO. SnEE ��
ft
#; �APPLIQ 1 OR BUILDING PERMIT'
-
���� 2..
` C F CUPERTINO
Date 95_ prnnit No.
/rp�'Tt110P h Q rmit toLa .story,ype Building
at
to be occupied only as
in accordance with Plans, Speci cations and Plot-Pl filed herewith.
Estimated Value of Improvements, $ 1Z�D Fee $
[ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other lawspplicable to a constructs location, and use of buildings within the City of
Cupertino will b6 complied with
v
i Owner Address
By, �
CO TRACTOR, AGENT
Q ti . • Phone, . � `� % 90 A
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
�
DATE /
INSPECTOR
FINAL BLDG.
l�
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR
I, the undersigned do hereby certify that I am
the owner and occupant of the single family dwe?.ling at
for which I an making
application to do- ?�.��v work as a home owner.
I also certify that I will not halve any non -licensed
or contractor, but will do this work myself.
TELEPNCINE hVI Bi d S" NATURE