1122 CL_ " LOT NO.
N ® PPLICATI- R BUILDING PERMITp
l (MAR 2 71�I , CUPERTINO i 8 C
Date_II'T{.'��3/ `n 4- 7��Up[ — 197 - Permit No. ' ( Z' �
APPkltlbn OErePUPEE TIKitto�/ � �'
0 a �>�_-e_story,Type -''�c�e-(� / g Building
at .t e7 C4- - ( Jr
to be occupie only as _/ A-t
in accordance with Plans, Specifications and Plot-Plan filed herewith.
v
Estimated Value of Improvements,$_/S n 0(7) i Fee$ 7, Q U
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. "
ti
Owner C �L rtc Address
y ��CO Addres
CONTRACTOR, AGAT
hone -3-o ao TApprove
BlliLDING 1NSPRCTOR
RECORD OF INSPECTION' APPROVALS
FOUNDATION
-_-7�• SPECTOR
FRAME
/ ATO SPACTOA
LATH A PLASTER. (O ; G"
AT INSPECTOR
FINAL BLDG. 0
DATE INSPIQW
ECTOR INSPECTORFINAL ELEC. -` L
D TBH
INSPECTOR
FINAL PLBG.
DA INSPECTOR
FINAL GAS
DATA INSPECTOR
CERTIFICATE 'OF 'COMPLETIOW�
BUILDING -INSPECTOR'S OFFICE
CITY OF CUPERTINO
/12 Date ._.... �.�� ........................... 15L� :L�'.... Building Pit No. ..�-�.;.�:�...
The Building Located atSfi!.'CG.::......:........:..............
Owned by 1 t��..tri!yo...t :/C..'.. ......r....a.. If ..........: '
r ral
(CCormpleted) ' r�
Has Been (Altered) For Use As: ....._,,1,.;1: r1�i .....................................
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I
.......................................................................... :.. ...
q 1
,..BUILDING INSPECTOR
.. '1027/59.500