873 r
LOT NO.
f
APPLIC`,. k'R BUILDING PERMIT' 7 7
1 Iz•CUPERTINO U f'7
Date / }} • :9i Permit No. Q ` 3
Applica ' is hereby ma gE permit to
a 61Zt story,Type building
\
at ' _ !
'"1r:. .
to be occupied only as _./."— �.
�D in accordance with Plans, S tficafions an,d Plot-Plan filed herewith.
Estimated Value of Improvements,S���� Fee a ,
It is hereby agreed that-the requirements of the Cupertino Building and Zoning Ordinances and
$ all ther laws a pli�cable t thec ductio , location, and use of buildings within the City of • I
Cup 'no it In Ii ed S .y
yOwner t' Addres • a7
Dy Add
Phone-- /�/� Approve LL:k. t-
~ BUILDING INSPECTOR IJL
ttRECORD OF IN'SPECTI j APPROVALS
POUNDATIt`j1V
DATE f INSPECTOR
FRAME /30 Y `
DATE INSPECTOR
�
_LATH and PLASTER 3(1/
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINALELEC.
DA R ' INSPECTOR
V
FINAL PWG.
ATE INSPECT00.
FINAL GAS
DATE INSPECTOR
1
4't
E:RTI;FICATE OF , C .IPLETI,ON
BUILDING INSPECTOR'S OFFICE ,
r
C
+ ITY OF.CUPERTINO
`
Date ... / r•'3 ii /r`.
r...................... 19G :...... Building Pen�ni�t o. .. .....7.3
, , ;
/ ....
The Building Located at .j..f �`- ' . A,. ..t:- I- •�.::
Owned by .....4: -.... �-'{:......:
(Complet .: I %•�: -�/ f✓ C.� _ .... ..
-' -. Y..........- �..._�.....A.. .....� .- ...
ed)'
Has Been (Altered) For Use As: .........: . .... ...::.:...... ...............................
............:..................................................................................................................................
-----.............................:.........................._................... .....---
.. ._...eT.�.. .. .........................
IN
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WING INSPECTOR
102 7/59-500