403 LOT NO.4�.
NO. RRE ;
API. I TI OR BUILDING PERMIT r�rft�11 .
CIT'Y►pP CUPERTINO /
Date 1 • _ 1-195_ Permit No.� 0 _`
\ Application is hereby`made for a permit'toC�7�`'
a 0� story, be%-P sti 0Building
\ at 1GuCn+cR.�-�
to be occupied only as iL
1 in accordance with Plan/Specifications Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ .. Pee$
6 u 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 wits. •: ,
I
v Owner �.i' y r _ Addressrw O�''�rn:clr.a ,.ff�i
By AddressT%�
! COTACTOR, AENT�
`
Phone Approve
W BUILDING INSPECTOR
RECORD OF INSPECTION APPFO`O'ALS
A
FOUNDATION —�
H SPECTOR .,
FRAME
DATH INSPECTOR
LATH and PLASTER �j/9
T e INSPECTOR
FINAL BLDG. j
qy c`AT G // INSPECTOR
�
FINAL ELEC.
DATE + INSPECTOR
FINAL'PLBG:
INSPECTOR
FINAL GAS
I /
DATE INSPECTOR
1 '
CERTIFICATE OF CO MON
BUILDING INSPECTOR'S O
CITY OF CUPERTINO
Date ..API. ........................... 19 .. Building Pe No. .
The Building Loca at .�sY.0 �'. �. . �..... .....................
. �..... r
Owned by .. �e� ' pL.2FG•". �.
. .. ........ . .. .. ...........................................
(Completed)
Has Been � For Use As: ....,.. �/ .r.'f' '.....:.................................
I ,
i
........... .nc� .........................
+ 19IJILDING INSPECTOR
102 7/59500 -