2868-
IAT NO. / 7
NO. TA `
W Z
E P ,41CATI0 F R BUILDING PERMIT
'0 M ec OF CUPERTINO
3 VQ V 1 17 962 � .,.. Sanitary No.
i U:ne 196_ Permit No.����o� O
o a0 !,�,� r^, `
�A 1 c QFis h.:i�Y�L'Y VIOpermit
aa` a _-� story, Type Building
w
to be occupied only as
0 o in accordance with Plans, SpeciGca ons -Ian Plot -Planned herewith. s
Estimated Value of Improvements, $ of %'%i% - pee a Ly_921 y _
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will he complied with.
3 C
— m Owner C¢.—C> .f .% Address ,C3 try d'o k ,�'� re
W Zl/ Cf
f
BY- Address
_ ° Phone_ Ll.. -O 2 o'3.7 0 Approved
State License �c- rf' �% / ® em we wsvecroa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE NSPEC'fOR
UNDERFLOOR
DA'1'ti
INSPFCTOR
FRAME
UAE
INSPECTOR
.ATH - PLASTER
DATE
INSPECTOR
_ •;
.19_
FINAL BLDG.
DATE
INSPECTOR
� -3
FINAL ELEC.
DATE
TOR
FINAL PLBG.
DATE
INSPECTOR
5 3�
FINAL GAS
7P-
DATE
NSPPCTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... ................ 19-a. Building Permit No'2
The Building Located at .....
. .. ..... %, ...........
Ownedby ..............................
Has Been(CofiiPle1t&1),
,(-Alt.,eifr—For Use As: ....... !44................................... .......-----
..............................................................................
... ..............
-047 140 ..................
102 1/63-500 6 BUILDING INSPECTOR
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