404 LOT NO.
NO, STREET, >
i
rAPPL.ICATI %�OR'`BUILDING .PERMIT'
.•. ,. i :.,r; ;, `. 1�Gh � CiCUPLRTINO;, , � '
�y �Date �95 l:a;� Permit No n
'Application is hereby,made for a permit to ��
a story,Type J l°+M . ;, r r. ' Bulldingatr
t
to be occupied only as
11 in accordance with Plans, Specifications and Plot-Plan filed,herewith.
;. v! wstitnated Value of Improvements, 'Fee
�rri ..
t'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
upertino will be complied with.
NOwner c i '• L'a Address—•
'rel ,.•.k'.
By' Addres's_� c'�✓ i''
- ,r•. a• ' CONTRACTOR, AGENT
Phone 47 e-� 0 74IJ. Approved
BUILDING INSPECTOR
RECORD OF INSPECtAPPROVALS
FOUNDATION --
• O TII R
FRAME
D TII R
LATH and PLASTER __� — —
DA ❑ I�SPI!CTOR
FINAL BLDG. "PIT
INSPECTOR'07.
/
FINAL ELEC.
TR V If SPECTOR
FINAL PLBG. /t 9 1i1
DATE INSPECTOR
f �,� ,J
,. '. FINAL GAS /J ` —
DAT / / INSPECTOR
CERTIFICATE OF COMP-L, TION „ q
BUILDING INSPB_ OI T F
CITY OF CUPERTINO
Date ... ........................... 79.:.1 . r Building Permi o. ..... [/.�T....
'The BuildingLocated t .
- J '�
Owned by ....:�. . .✓.:�.7..'r'„!... . . .: . .. .t.-.E.�^�.rid°'`�y. .�'��..........................
(Completed)
Has Been (.�^. For•,Use As: ... .. . ... ...................................
...................................................................................................:............................................
.. .............. ...........
............................................................................. ..,., .@�Y"
............ ..
1
y ✓ WILDING INSPECTOR .
102 7/19-500