111 — . .FR,
J LOT NO2(0
'
' NO. STR T
.2154 A ATION FOR BUILDING PERMIT
CITY OF CUPERTINO
'Date.. ; 195_ - Permit No._./,// __
Y Application is hereby made for a permit to
a�� story,Type_ r �� Building
at, n
.to beoccupied 'only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
. „ Estimated Value of Improvements, $ ,4.2 DOd Fee$_ g
u It is hereby agreed that the requirements of the,4Cupertino Building and Zoning Ordinances and
all othe ws a able to thP�pon tru ion, { ion, and use gLbu in s wl Cit of
CaperItl ljed wlt ,�2 itt' /�_J g y
ri) Owner �"'^�� '7A_G Address 7
BY Address L�.rt Bei
RACY( AGEN
Phone /. / r f AV, Approved — r� W
r'
BU MING INSPECTOR '_JL
RECORD OF INSPECTION APPROVALS
FOUNDATION
F. •INSPECTOR
FRAME 3
ATG INSPECTOR
zzm
LATH aDd PLASTER -A E —
A INSPECTOR
FINAL BLDG.
T8 INSPECTOR
/ S
FINAL ELEC. �
p INSPECTOR '
FINAL PLBG. �
D T8 O INSPECTOR
FINAL GAS G g J
DATE a 'INSPECTOR
I
CERTIFICATE OF COMtP� ION
BUILDING INSPECTOR'S OFF,
CITY OF CUPERTINO
Date ..:,r.F i. .,................................ 195.-�- .. >Building!Permit No. -- ..........
The
The Building Located at ..........: ..-.-.-------------
Owned
,! -Owned b ! - /,i,.. ✓`.� , , Y
/ l
(Completed) '
Has Been .�Akere�• For Use As: ...
..�. +/'� •�'�=? '�
j
......... ............................._.......... — — — ...._..,._.....:...................._.... .. — ... _..c...
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k
t e,
102 2/59-250 BUILDING INSPECTOR