2255 (2) If 4.7631 0 r
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No . STRE . ~
w p AhPPLIG'i�Tl N FOR BUILDING PERMIT
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x L 7�,C OF CUPERTINO q r
a s - Sanitary No.
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1pPR 15 9933 �?��
I a Ilan 196_ , Permit No.
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0 w Application•is hereby made•for,a.permit to
< /�TJ1 ► Sir t,UPLK I
am a story,Type/ /7�"�p" ' Building
to be occupied only as g. /
a
o `o in accordance with Plans, Specifications
onsaand
oPlot-Plan filed herewith.
0 N /
Estimated Value of Improvements,$ Fee
a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino will be complied vith.
3 m Owner /! Address
w z
a By y Address
a 0 PhoneApproved t
State License.-70e/-515z sun.niNc iNSPecroR
1 7a
RECORD PFjNSP,ECtlON. APP ALS
FOUNDATION U-713
INSPEC!OR
UNDERFLOOR
INSPFCTOR
FRAME fAINSPE.IOR
LATH and PLASTER
DAT INSPECTOR
FINAL BLDG. � 3 a-,
DATE INSPIiC'!OR
FINAL ELI7C. 1
(1� DATE INSPECTOR
FINAL PLBG.
DATE INSPP,CTOR
FINAL GAS
DATE INSPECTOR
l
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFF CUPERTINO 1
... ..Date ..............:i...izr....... . 19....= ... jA .uS.nn_g
erin;N..o�'-...'...
The Building Coaed at.._� �1.-a..................................
Owned by ......... �' �....._.`..•.: • _ ..L�:�'�' v n � �L:
r
eF"(Cahpleted),.
Has Been---(Alteired) For-Use As: ..5:.......!.....1.V 1 _
..............
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102 1/65-500 BUILDING INSPECPOR