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NO. t S ARTY -µ
PLICATION FOR BUILDING PERMIT 6%7/)
'eITY OF CUPERTINO
Date l i • - _ `� 5. Permit No. 7// Q
Application is,hereby.made for a permit to Ae P4�
t a story, Type ✓ Building
at
to be occupied only as
in accordance with Pla , Specifications and Plot -Plan filed herewith. Bro
cO
a, Estimated Value of Improvements, $=, Fee $ �
y 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
"-I Cupertino w' 1 be complied with.
v
One h _ ��' ' v' Address* "I,/Cie �_'t,
BAddress Sa. pie s
y c ,1��C2
CONTRACTOR, AGENT r
Phone/- V-A „ (! Cf Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS y;
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
fl,
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
-CITY OF CUPERTINO
Date ..... ...... : ............ l'9J.Y.- Building Permit No . ..... 7d"14,11
The Building Located at . .........................................
Ownedby ....... ........... .................
(Completed)
Has Been ( WM_ ) For Use As:... -- ....... a
I . . .............................^..,
........................ .................... I ............... . ...... I
. .. ... .......................................
..................
. ..
BUILDING INSPECTOR
102 7/19-5nO