234 (2) LOT NO. lie,�Y
2155 APPq; C4�1 TION FOR BUILDING PERMIT
t ` =4 CITY OF. CUPERTINO /
... / r ' —
Date '' 19 Permit No. /
Application'is Het€5m'adrfora�j erl i�o �Q
a f tq�YlFX ck
AJJ Building
_ �•II Y'Y
•'in be occupied'ontp. `I . -
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In a.mwit
Mance with Plans, Spea tio'ns y: 1d PI' -Plan filed hereh ..
•u. Estimated Value of Improvements;,$1 Fee$ •`•`
_�,�.. 1.
.;.v.. It is hereby agreed that the.,requirements.•of,the Cupertino Building and Zoning Ordinances and
ti s;ar all other laws applicable td°the construynon, location, and.use yf-�uildi within the City of
r
Caper ill !opie '.fv'th. /�
�n Owner '' 'Address -cam
By = Address
ONTRACTOR, NT '• /' '
Phone t- Approved c
• BUI DING INsrccToR 7j1�
RECORD OF INSPECTION APPROVALS
FOUNDATION
D TE 9 IN PECTOR
FRAME
D'TE 1 CTC�R
LATH and PLASTER - S^ �'• --
TR LNSPESTOR
FINAL BLDG. � /
E INSPECTOR
FINAL ELEC. n�' G"
ATE a, INSPECTO0.
FINAL PLBG.
ATR INSPECTOR
'
FINAL GASB '
t .DATE INSPECTOR
x , CERTIFICATE',,OF COMIP 'ETION •
.._
BUILDING INSPECTOR'S OFF,,IC -
CITY OP CUPERTINO '4
.. Date ......... r - d�± 4 . .\;,
_.... 195'"".. Bwlding Permit No. ..:].r....:"......
TheBuildingLocated at;r•c `"ins :,!�""....: ':1`%; . :.....e<?� ................._.
Owned by ......- . - ..
: . . ... .. ... t..y.
., Has Been [,or Use As: �"!t•' ra �'
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... .. .... . ... } S-
.
' - BUIIDTNC INSPECTOR
702 2/59-250'
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