417 LOT NO.
A 'ATIONJFOR BUIL• ING PERMIT 79��
�GITY.OF CUPERTI (0
Date 195_ Emit No.
Application is hereby made foTadpormit to ah a �—
a �story,Type `� Building
at
r
to be occupied only as �f �/.r��
R't in accordance with Plans&ecifications and Plot-Plan filed herewith.
�- Estimated Value of Improvements,$ f& Fee,
v 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
Cupertinno ill be complied ri tf}
� Ownerv4')i 6, Address
o
By ` Address
CONTRACTOR, AGENT
Phone Z d� --Q .tf" Approve
BUILDING INSPECTOR
MW
RECORD OF INSPECTION APPR LS
FOUNDATION — I
DAT INSPECTOR
��� INSPECTOR
FRAME —y Qft
E INSPECTOR
LATH and PLASTER - I
D TE / INSPECTOR
FINAL BLDG. V
D TE INSPECTOR
i
FINAL ELEC. I
INSPECTOR
FINAL PLBG. 9
DA E INSPECTOR
FINAL GAS I D TE INSPECTOR
I
' I
COTIFICANE OFM L. hON
BUILDING INSPECT IS FFICE;
CITY OF CUPENO
Date .....,t//.x............................... 19....�..�.`.�r Byuilding Perm" o. ......�s..........
The BuildingLocated,at ./� .� '� �_ / "ifi"d
Owned by � � t!fiO.
. ._.... . . .... i .!. .
(Completed) Y � . '
Has Been (A1terdd) For Use As: ti.....................................................................:
,
41
.........................._ .... . _ . ........ :---------------
V.::........ .
BUILDING INSPECTOR
102 7/59-500 �'