1566 I.OT NO.
'NO. STREET
ICAM 1LFqR BUILDING PERMIT
CUPERTINO
Date 5_ , Permit No.�
Application is hereby made for a per t
!y� a —0Y or, Building
at
to be occupied only as
in accordance with Plans, Sp _ cations and Plot-Plan filed herewith. �q
Estimated Value of Improvements, $ /6 )nn 6 Fee$
y It is hereby agre d that the requirements of the Cupertino Building and Zoning Ordinances and
`—' all other laws ap Ni'd
the cons coon, location, and use of buildings within the City of
"I Cupertino ill oth
'A- Owner' / Address
BY Address
CO�yT�ACTOR,jGEM -
3hone APProve
DUILDING W51'RCTOR
RECO D 06' IJN'SPECT 94 APP OVALS,
FOUNDATION -
D TR / INSPECTOR
FRAMG
ATG INSPECTOR
LATH a "PLASTFR
DATEp --C�/ 7��jlC INSPECTOR
FINAL BLDG. ^ ` 3 ''R7/•'�/Y'
DA,TpE� INSPECTOR
FINAL ELEC. //�/!
DATE -�f INSPECTOR
FINAL PLBG. 3
DATE (]� JJ
NSPP.CfOR
FINAL GAS -�,� 2
DATE �� INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date --- ...... ................ 19419- Buildinodernut No.
------------
The Building Located at/ez'It/107-.1 ..... ........................................
Owned by ----- ------------
Has Been (,!76�mzp ,:t3�For Use As: ......
Altered) -
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`7
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102 4161-500 /BUILDING INSPECTOR