473 (2) LOT NO._� ..
NO. - STAEET
A2P11 ION FOR BUILDING PERMIT
1 �:� _tCI OF CUPERTINO
Dat c 25_ Permit No.
Ap hcation is hereby made forr�mit to
a story,.T,ype— Building
at
to be occupied only as
in accordance with Pla , SpecificationsJannd Plot-Plan filed herewith. / l
v
Estimated Value of Improvements,$_! (O,/ .!?e Fee$
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 he complied with. _
i Own r. Address
, WNG
B' "" JAddress CONTRAC OR, AGENTPhone G-yL�'— %O✓` 7ApprovJBNSPECTOR
RECORD OF INSPECTION APPROVALS-'-
FOUNDATION
PPROVALSFOUNDATION
D TE INSPECTOR
FRAME
Dn E INSPECTOR
LATH and PLASTER dol 9
DATE INSPECTOR
FINAL BLDG. h q
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG. 2 �
DA H INSPECTOR
FINAL GAS
DATE INSPECTOR
CERTIFICATE OF C PLETIOIJ
BUILDING INSPECTORS " CE
CITY OF CUPER N
Date ....,.:_£ 1 ......................... jq '.
.. Building Permit No.
The Building Located at
............................ ......................................................
Owned by ... j-
..4 .!........................................................................
(Completed)
Has BeenFor Use As: ........
.............................................................................................................................................
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..............................................................................................
, , �*A.....*—....................
Ar -
........... y. .
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BUILDING INSPFCrOR
102 .7/59-500