2862 LOT NO.
NO. STAtHT
UfO
eAPPLIFOR BUILDING PERMIT
r O �i G Y ' OF CUPERTINO
° �•11 S;mitaty No, z k(fl -2-
<3 T 17 16a —o 196_ ermit No. ( Y
w ~ Is�j� Iy�{J ermit
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a m a story,Type Building
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to be occupied only as
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in accordance with Plans, S ecificat ns and, lot-Plan iilleed herewith.
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0 3 Estimated Value of Improvements, EFee rf/L} V v
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z 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
j o Cupertino will be complied with,
3 < Owner' CL iu4-.� cr>� �, Address I .p
O. /3 ;fysz k 0Q,0—
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a w y v' Address
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O Phone '�'2-"% i5'e�
/ p Approve
State License / C T�p C1 Bill. ING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
.D IT INSPECTOR
UNDERFLOOR
DA E INSPPCTOR
,r•RRlrr: 2 Z
D\t'F NSI'D:CTOR
L TH ' d PLASTER 2- Z—
DATR PECTOR
FINAL. BLDG.
�^ DATE INSPECTOR
FINAL.ELEC.
DATEINSPECTOR
�3
FINAL PLBG. � � I1, C�
DATE INSPECTOR
FINAL GAS I
DATE INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
0)Com' / n
Date --...... s? .1.................•..... 119.5 ....? ' Building Permit No..,-;7
The Building Located at .....:............1-............Sf . .
Owned b e • , .. ^ *
Y .... ............................. . ..--...---............................................
Has Been (6; For Use As:
(Altered) ...
..............................••---.....------.....---....-----....-----•---...-----...............-----...----..........---.....----....--......
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d�tCp-�
• YBUILDING INSPECTOR
102. 1/63-500