1456 LOT NO.�.L
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APPLICA 1 -N F R B WING PERIT p
\ CI O� CUPERTINO ' 3 //
r COQ OF
[ .. Date CUPERTINO, 1195 Permit No.
Application is hereby made for a Permit to
a /story,Type Building
\ at
�v to be occupied only as
V —y
\ m accordance with Plans, PetiCcations and Plot-Plan filed herewith. or
Estimated Value of Improvements, $ S00 — . Pee
v
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other Incas a plicaWe to toe cons[r tion, location, and use of buildings within the City of
Cupertnio,,st. IVI
.v.
M Owncr`� tea.--� Address p G.CJ
Address _
�p
/CONTRACTOR, AGENT'
I Phone 2/ :�73� Approved
' eU1JDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION 2 j Gl
STE I�WINSPECTOR
FRAME l
AT INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. S-/- -3
/DATE meg]/ INSPFCTOR
FINALELEC. / 3
DATE INSPECTOR
FINAL PLBG. —?—,— 3
DATE SPECTOR
FINAL GAS 3 —/— 3
DATE INSPECTOR
-:.spry:.,t. .. . ..,.s.....; , ..
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
I.CITY OF CUPERTINO
f
Date •' 19r^�i Building Permit �.-
•�•— ( � rS tr9
---:a•---'-; •---•............::.:...:.... ... .... ' f _mgr; No. - ..-•----'---
The Building Located at ..,.1.'i{%:'.�..'!!f%,,,.�,Q/ ��.. _
Owned by ,Ali f.... .` J�.c •.....
( mpletcd•"Y .......... ....
Has Been C�A1 or Use As: ..-_ y,{!..`.•'.'.T..�.........
..................-...............................................................................................................................
...........-'-'-----•------"..................'----'- � -•:::''- -------.t..................
} j........�
BUILDIA*G INSPL•CTOR -
102 4/61.300