105 (2) 3 06 LOT NO.-R$„-._'�Z_ ._rte._ .
NO. ST0.6QT' ,
2 15 4 PPLIQATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date i , 195_ Sermi ./D.
IApplication is hereby made for a permit to
�\ a story,Type Building
at
1
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
„ Estimated Value of Improvements, $ Z.2 ()DC) Fee$
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.d all other laws applicable to the construction, location, and use of buildings within the City of
Cupertinorvi II be with. ,
In Owner L• GL --t�e �'T1'�ess "00 � &'7 '
By Address
N-QtACTOg,. NT.
_Phone Approved
BUILDING INSPECTOR '�.`
RECORD OF INSPECTIO PROVILS
FOUNDATION 3 p
ATP INSJ'ECTOR '
FRAME
ATG INSPECTOR
// ti
LATH and PLASTER 1 }
A R INSP'CTOR . /
FINAL BLDG.
TH INSPECTOR
FINAL ELEC.
ATRINSPECTOR
FINAL PLBG.
TR INSPECTOR
FINAL GAS
Air, INSPECTOR
r - . �- 1 � •q. .•tel.
CERTIFICATE OF COMPLOTION
BUILDING INSPECTOR'S OFFICE j' -! .
CITY OF CUPERTINO //
I � LI• .
Date .........� .r-.....<. ...-I.f.............. 195.�f Buildin Permit No. ...
,..... , , .4-. ..........
The Building Located at ...1.•:::...............��!......_• • ,�i';„ .
Owned b ! d...... .`d r Kms. 6.
Has Been For• ../
or Use As: ..... .. - �. 1
............................................................ ..............................
..........................................................................-...............::-.....: .
..............................................
`�,.�•y a-.: /' _ •�
11A -5-k4
'
102 2/59•250 ��/ BUILDING INSPF-CTOR• •..r •.
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