893' �w•. �4 LOT NO /yam
' ! APPLICA •FOR BUILDING PERMIT
„fig r, A�j OFCUPERTINO
Date__�,J^ i93IQ/I Permit No.
Appliatio t reby made for a permit
n'
t i a 01�2" - storyrType Building
at
to be occupied only as
in accordance with Plans,Spedfiom and ot•Plan filed herewith.' `
Estimated Value of Improvements s Fee tJ[
••1 It is hemby agreed that the requirenlenb of the Cupertino Build' RIId Zoning Otdinsnoes and
all p�er In. le M � QED ti laation, and use ofildings wnhio the City of
I � CupLRtiho w�11 ` plied
OwneerGZrL + l�Jk` Ad
BY t". Add r /
� ESI a
TApprove
BUILDIM INSPECTOR
RECORD OF MAC TIr' N APPROVALS
FOUNDATION
DA 6 ,INSPECTOR "
FRAME r
D TE INSPECTOR
LAT nd PLASTER .n
/DATE INSPECTOR
FINAL BLDG. u
DA E NSPECTOR
FINAL ELEC.
DAT / NSPECTOR
FINAL PLBG.
DA tr SPECTOR
FINAL GAS
DAT 9 "SPECTOR ,
t CERTIFICATE OF COMPLETIO +,r'' ;{%
II � •
BUILDING INSPECTOR'S OFFICF. •ti��'��r t .
I •
CITY OF CUPEkTINO QG� .• f
Date ....... I.9........................... 19.�v - Building Peri it.•No. .......•
The Building Located at....
...........
!.! ........
& ... .:.. ....................................
......... .. Pb'
Owned. by .................. ........... ............................. .......... .
(C.,,._Ple�
Has Been (Altered) For Use As: ..... .......; ;-o.................................:...
................. .:a ����t. �� ,r.w .•
...................
.... ............
r ..................... iw _
................................................ .....
..............
t /. 1 ..........
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102 7/59-Sall BUR.DING INSPECTOR'
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