2721 0039
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w ` �APP�LI�CA ION FOR B 10el 8l 1�oq
11 1 l� DING P MIT
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0 OCT 1119 clv or crlPrxTfNo {t
LL
Sanitary No.
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w v_ Date - – – • -- —•, 196_ Permit No.
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o Apj)lication is hereby made for a permit o (610
a
m a story,Type Building
to be occupied only as
a
J " in accordance with Plans, Specifications and Plot-P filed herewith.
00 p
3 Estimated Value of Improvements, $]�li, )tneD �� Fee$ �F�o55o
o J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with. e
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Owner� j=1 rococo �'�-- � _�Address 39.1 AiO,ry ptkl
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W . By. Address
OE
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Phone Q!{-P-) 71 A vc
State Licens BI YDEll'NSPECIOR
RECORD OF INSPECTIO APPROVALS
17OUNDATION
DATE INSPECTOR
'UNDERFLOOR
I DAIF L/ INSPFCTOR
(D .•PRANG -03- 7
"J nnl'r. INSPFCTOa
LATH and PLASTERUATY.ArE
T IRSPF.CTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELLE.
DATE INSPECTOR
FINAL PLBG. �
DATE INSPECTOR
FINAL GAS
(�VVV v Dnrr, wsvecroa ., '
�: . ACERTIFICATE OF COMPLETION
—1 BUILDING INSPECTOR'S OFFICE
'CITY OF /UPERTINO
Date ......5:; .:.... .'.:'............... 19 :::.. 7 Building�Permit No:"." ..!..�.
......--
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The BuildinglLocated at .....-...::....li ' .
P
Owned by
�•
Has Been (Com le_ed) For Use'As(Altered) .........`..•............,'�.�.... .' _....'..-�.0/
...................................................
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...........................•-------••--.......:-.:...._l
.........................................................................................�........,:.......!
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...................................................................................
t
102 1/63-500
BUILDING INSPECTOR.,.,
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