361LOT NO.
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date JQ*Rde
195_ Permit No._�atermit toiGGGi�ssrD Building
at fMAYS25
to in as=Te W h
and Plot -Plan filed herewith.
Estimated Value of Improvements, $ �f°'�. �"l� 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 will be complied with.
Owner f,01
By
CONTRACTOR, AGENT
Moe
Address /7S A v%%i u y 11,1,
Address /1'KJ >4sP
Approved Ld_ -moi
BUILDING INSPECTOR i ` L _ -
RECORD OF INSPECTION a►PPROVALS
FOUNDATION
ATR INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
INSCTOR
INSPECTOR
INSPECTOR
INSPECTOR
FINAL PLBG.
p INSPECTOR
FINAL GAS
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ............ ------------- ---------------- —, 195-''---- Building Permit
The Building Located at ............................. .............................. .
........... ......................
Ownedby ----------- .............................. ......... — ...... ................. .................
(Completed)
HasBeen (-4korvd) For Use As: ..................................................... --------- I ...............
----------- ---------------------------------- ----- ---------- ......... ........... ....... ---------- I .............
--------------------------------- ---- -- ----------_ --- --- ----- ................... ------------------------ .................... —
---------------------------------------------- ............ ...................----------------------------...
.............,we, ,
--------------- - ......
102 2/59-250 BUILDING INSPECTOR