725 /V J_ • / LOT NO. / ✓'A;�..��...•�• '
. NO. STR T 't '•. �' Y .: ,`,.a.tvti i
r) {. APPLI ']� CON FOR BUILDING PERMIT
it CITY OF CUPERTINO
Date 195 Permit No.
\ - Application is hereby made for atpermit to .�C/L.Qs.6—• - s
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a � sty Type // �� C �� \ Building ,
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to be occupied only as �� tiC
In accordance with Plans, $p' ficca[ionsfand Plot-Plan filed herewith.
lel I UI \.u. ....- !hJ
Estimated Value of Improvements, Fee$
v' 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 Cupertin w be complied with.
vl Owner Address
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By � � �� Address z '
rTRA OR, AG NT WIL AM D. BENEVICK
Ph Approved
BUILDING INSPECTOR
RECORD OF INSPECTION ARROVALS
FOUNDATION I
^INSPECTOR l�
FRAME: --��
ATH I INSPECTOR
AT and PLASTER
•• ' ATR INSPECTOR i
FINAL BLDG. Zz °
A H I INSPECTOR ,y
FINAL ELEC. ___ I
D R INSPHCTOR �
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FINAL PLBG. y
ATd INSPECTOR -
FINAL GAS
DATE INSPECTOR ,
I
CERTIFICATE OF COMPLETION . '
• - BUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
v� Date .........d!�.: -«�',z;`.rS'---......._.., 19.C..!7. ._. Building P...
ui ing ... it N0. .. uC�r
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The Building Lotat'} at-: � /� r5.... 1.......... .
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Owned b � %_... _,:.........'.''.`::... ...
�^(Complete�y` ��
Has Been•:_ Ite'red) For Use As: ...is ...: .....................:: .........
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' V 1 ✓ BUILDING INSPECTOR
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