351 (2) 20101 I Pacifica,bri e_`„ 27
LOT NO.
NO. STREET
�)
I 1 F r R BUILDING PERMIT
11' rF CUPERTINO /
Date! 'MA 30 c35 9 Permit No., s!
(`A
Application is herebymade for'a permit to construct
a CITYA toQLKRT1N()5IJ Building
l at Pacifica Subdivision
to be occupied only as a single family dwelling
in accordance with Plans, Specifications and Plot-Plan filed herewith.
u Estimated Value of Improvements,$ 13,500 Fee$ �S, 0 O
a It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.1 all other laws applicable to the construction, location, and use of buildings within the City of
v
Cupertino will be complied with.
" EDENVALE LAND CO. 132'Edith Los Altos
v� Owner Address I
By Address . Same
CONTRACTOR, AGENT I • /�
Phone ' wH 5-4479 Approved Lam.
InI LDING INSPECTOR k✓ ,
RECORD OF INSPECTION APPROVALS
FOUNDATION / /
_ TR INSPECTOR
FRAME
II INSPECTOR
LATH and PLASTER
DATE �' INSPECTOR
FINAL BLDG.
DATE // t INSPECTOR
FINAL ELEC. /,p/-j U�Q'GI
DATE (/ INSPECTOR
FINAL PLBG. �/4 1 �
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
. CERTIFICATE OT.- COMPLETION
BUILDING INSPECTOR'S OFFICE
• -CITY OI' CUPF.RTINO
Date .:..':_/0 f.�l.....:..-'...
..........._.; ;95.9. ... Building Permit+No. ..
The Building Located''at•
................... `.........................:"'" /"- -r�'r';!t�i ?" :`L✓..7�.� - ..
Owned-by .......
.. '•_./.A.•':"iiB(1- //u? 10�' F .htt :'.• - ._ ....
. ... r..
(Completed) ,!' f )
'Has Been .For'Use,As: ..... _..!i�.----11 .:_. !-•�'!n'r` .
(cAltered)
.............:............•.._....... .....'...........: .....:.
..... f.................t -
' =." .BUILDING INSPECTOR
.102.2/59-250