1738L U_lC.T Lor No.
NO. f� R �tij.r
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�APPL•IQ�A;10 OR BUILDING PERM Tn(2 IFCI F CUPERTINO i �Jdgo7-g/
Date_ �� 9t� Permit No. /
%,[Vytio0VheEeb7tgtRdq }4v1 j rmit to G o Ns TR 0 C- T
1 a —Q 11 FE, story,,JJTyypp'[L�i(( "'vU r;�. Q 5z Building
i
at
t to be occupied only as � Q_ _tN E l_t:
in accordance with Plans, Specifications and Plot -Plan filed herewith. o
Estimated Value of Improvements, $_��I b O O — , Fee $ In O
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C, 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 be complied with.
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( OwnerC ��b' JO Ee.- 14 U.N6 G Address P •d U x 4 3
Address u T /
�/ CONTRACTOR, AGENT
Phone'4 L 3— O t,J U 0 Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
FRAME
ATH" d PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
2- i y
DATG - INSPECTOR
CERT1"TMIA TE OF ;.',COMPL.ETIOW '
` BUILDING INSPECTORS OFFICE
CITY OF C ERTINO
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Date I��Z'' - BIdtng PermrtNo
The Building Locatyd at �r ? iSCi /��r/�`/
f .
Com leted�—� J ��
Has. Aeen (Atired)) For Use As
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