598� Tey
%0 70 7 �...i/ .LUT NO.�
NO. ,STRG T t
P LI 'TION FOR BUILDING PERMIT
a' ® OF CUPPRTINO
Dat .� AN I"195— ,�'.Pcrmit Nu. O
CIT
Application is hereby made four a'per(mii't to.
\ a IRFst�y TJ Ejfm}ii�f-j—�/ Building
at ��'�/
to be occupied only as
in accordance with Plans, Spe fications and Plot -Plan filed herewith. T o0
13stimated Value of Improvements, $ /11000 Fee $ CJ
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
;.j Cupertino wil complied with. 'LLYF��_ .
Owner Address
By �� _ Address
CONTRAC]'OR, � GNJJ'��_
Phone �� 9rei=" Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
=LATH PLASTER
FINAL BLDG. _
FINAL ELEC.
FINAL PLBG. _
FINAL GAS
INSPECTOR
INSPECTOR
INSPECTOR
DATE . I / INSPECTOR
CERTIFICATE OF COMPLETION`"' :9
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
_ l'! ...... 19
..........
Date ...., .f Building Permit No........ T........
The Building Located gat f!'.?a-,7.r...{..l.:z .......................
............
Owned by...}.,.✓.t��S.S17.�Y?:.Cl._t.✓C�/tt%%" %Js! G.........................................
✓ __ -
�(Completed) rf "
Has Bern --(.Altered) For Use As:.............G............................................................,,
X
..............- .... ........... ....... ....... _..................... _...... _............`.....::............................................