392 O�SJL��II LOT NO.
NO. STRBB � r.).
A ' ArTI�N�FOR BUILDING PERMIT CI�-3/
fyt n�lfpAC� OF CUPERTINO7/t� /
Date - rnd 24 iq'sq' 195_ Permit No. "3/ y _
\
Application is hereby,made'for a permit td,p�
a �4 `�yt 'oe
`' 'story,Typtx��-'�� � Building
t
a
k
to be occupied only as
in accordance with Plan pecifications and Plot-Plan filed herewith.
\ Isstimatc&Value of Improvements, $'/41 1�ev 04 . Fee$
It is herehy,,agieed:that the requirements of the Cupertino Building and Zoning Ordinances and
RII other Saws'Replicable to the construction, location, and use of buildings within the City of
;-j Cupertino will be complied with: -
y
� Owner
By Addresses 1
CONTRACTOR, AGENTx` A
Phon . _ �^e tY14 "" ' f Approve
x s•. • BUILDING INSPECTOR q,
c
RECORD OF INSPECTION APPROVALS
FOUNDATION _2111191 I
T8
INSPECTOR
FRAME �-?D
D f➢ INSPECTOR
LATH and PLASTER ��
ATH - INSPECTOR
FINAL BLDG. '
D TH !•� INSPECTOR
FINAL.ELEC.
DATH INSPECTOR, '
FINAL PLBG. �� r
2//
DATH INSPECTOR
FINAL GAS /°` �7
ATH INSPECTOR
i
CERTIFICATE OF COM LOTION
BUILDING INSPECTOR'S �FF E.
CITY OF CUPERTINO • `.�✓
Date ................:..:.::: 14-Y. BuildingPer 't No. 1.�5......
The Building Loca�}Cd at t' .. (J `.'.J �GdQI " 'r..'. ......... .................................
Owned b ..� .'r �✓h�r��T'�'! .(� 5. :....._....:. . .
Y c.%"... .... , ...................
(Completed)-, . ✓�
Has Been (Altered) For Use As: ..........k /.. . . . ..................................
................................................................
....................................................................... ......................................................
................. ...............................................................r,.r�............................
f
RUILDTNG INSPECTOR
102 7/59-500 „✓