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ALOSI U 6 rW 1 0 co R T LOT NO. 04 eC NO. V Ct (p;�.,FOR BUILDING PERMITOX6-1'9�0
IT U{ F CUPPRTINO
Date , 1 Permit No, l / 7'_457
Application is hereby made for a permit to C o A)S'T R 0 O T
a ? Gtory,CFI�TINl7 is 3 Building
at
to be occupied only as D W is Lt—,i N G
� in accordance with Plans, Specifications and Plot-Plan filed herewith. G -
D
a,
Estimated Value of Improvements, $ (oi ✓ Fee$
C It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
III other laws applicable to the.construction, location, and use of buildings within the City of
;.j Cupertino will be complied with.
Owner'�H� V 14061� Address P•b• lid ?C n 3
Dy - Address u /.U0
CONTRACTOR AGENT
Phone-4L L 3— O ��f7 Approved
BUILDING INSPEC]'OR+
t>
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA ,• INSPECTOR
FRAME jJDAYE INSPPCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. 7
A fi PECTOR
FINAL ELEC. L L
D TE INSPI;CTOR ,
FINAL PLBG. Z
DA E �lrq`INSPECTOR
FINAL GAS _��:
DAV� INSPECTOR
X
CERTI'FiCATE " OFZ ' '1C0i�APLET10A
-- -BUILD_ ING INSPECTORS OFI7CE
CITY OF•'CCTPLRTI,NO:� '
1 , r
Date ':.., ..". I ;df Z' MBu)Idiug Perm)t No ,?
' The Building Loca at _
1. Zle-
Owned b { � � '•�
a . ' Has B (Complet 'For-Use AS _ ...
ered) ..
) t
_..
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�• 3- BUILDING 7NSP66_C6R '�•�
102'4/61-500 . . w . +_