3213 LOT NO. 65!
N a NO,11 /"STEEh � I\�
w � � IIPPLI'CA ICS OR. B!lILDING PERMIT
LL o iOt CUPERTINO
MAY 7 q
19�JC
3 a t. .. Sanitars• No.
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Date —• — 163 Permit No. o:� J /
o l,l I r ur .;U'�F.tl I .,
`o Application is hereby made fora permit to EiPEGT
a I
a u) a L story.Type ���� �// / Building
to be occupied only as �(/n/vim �yry1t,�/t L�LvtP Ulf/)
20 in accordance with Plans, Specifications Ynd Plot-Plan filed herewith.
�
; Estimated Value of Improvements, $ 1 g d n n Fee$ S). 00
i J It is hereby agreed that the,requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws ap
d plicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 N Owne // L— Address 625-6 4/° 1'7 JZ . T
WZ
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a a C^^ Address
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a 0 P ne �LS3-3/Q3
Approved
tate License--, Wr DIN. tNSPP.CTOR
F
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR 'C-a�
DATE. IN PFC OR
FRAME
^DATE INSPECTOR
LATH and PLASTER
DATE � INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. 3�3
DATE INSPECTOR
FINAL PLBG.
��D7ATESPF.CTOR
/^FINAL GAS /a�`� I—L
ADTE. - INSPECTOR
C r DA
4;
CERTIFICATE : OF COMPLETION
BUILDINGBUILDING INSPECTOR'S OFFICE,
CITY OF CUPERTINO
. . .. .............. .. .?.... Permit No.!� !Date ........ ung Q ..
.....
The Building Located %1q.-;-F.9le
..
Owned by ..................... "/ :. -.
ff iL`'ie"'
........
.. .. ---�.......
.......... ..-. ................ ..
Has Been (Altered) For Use As: _....... l,r.....-
................_..............................,......:..:............----....---.............................----......................--'--
......................................................... _
_.
............. .
(,�. �BUILDIN INSPECTOR .
102. 1/63400 - . -