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APPLICATION FOR CERTIFICATE OF OCCUPANCY
COMMUNITY DEVELOPMENT DEPARTMENT•BUILDING DIVISION
ALBERT SALVADOR, P.E.,C.B.O., BUILDING OFFICIAL
CUPERTINO 10300 TORRE AVENUE•CUPERTINO, CA95014-3255
(408)777-3228•building@cupertino.orp
COMPLETE A SEPARATE APPLICATION FOR EACH BUILDING:
PROJECT ADDRESS O�� � ,�
�I O I�I N• ��1�Zli CUPERTINO� CA �N# ��Z� � DATE
OWNER NAME /► C PAONEy�_� LI.I!�D E-MAIL
H �� �! eo(� uZ,�►�� a k.ca�•,
STREETADDRESS •i��f�I� ' CTI'Y, STATE,ZIP �� �''n0 ,�
, C�1 9 So
CONTRACTOR NAME pgpNE E_MAII�
otdrr Corts}-rucfi��► �o�-2oy-3zso nadrak.� �to�d�r. co�
STREET ADDRESS CI1'Y, STATE,ZIP
20LS �Gct Svi�k 3ZD �h �j�c� Coq �'SIiO
MAIL CERTIFICATE TO: Please allow u to 10 business da s for delive
CONTACTNAME ,1 ,� �r/-�d�
PHONE
K ll,f•� �8-2oy-323o E-'�`"� rytdruk c@ �oldc�r c o►�
STREETADDRESS�O�� �� � Ce �+�C AZO CI1'Y, STATE,ZIP
S �Gi✓� �Se C �j S 110
LIST ALL BUILDING PERMITS ISSUED FOR PROJECT:
PERNIIT NUMBER DATE FINALED INSPECTOR SCOPE
1 - � - i 93 �r� �y s �s �,�,���r,�► r,���-
2 - o►a- «�� rb � s T� w�ro
3
4
NOTE: Please attach a copy of BOTH SIDES of the signed inspection job card to this application.
- OFFICE USE ONLY-
SPECIAL STIPULATIONS OR CONDITIONS: CHECKLIST: /
, ,
��', :'����� - , � ';���� �+�, � °�,#'1 �f�{!�",.d � Copy of Job Card Attached(both sides)? �
L l't-;
� ? .-, �
��� � �a �' ' _�� �. � � Permit sigied off in system?
No other permits open or expired in system? �
Verification ofpayment for certification? �
.
� ��, �i.�%t`�-�Cl_�� ��l�Si�e. t��s }4f�Cst��GjV1S
n��'�i j--� 3 i�#�:-°,,;{
CofOApplicatzon.doc revised 08/08/18
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