894 A- / A
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N �✓ /
NO. STR.P.T '
�r""PLICATION FOR BUILDING PERMIT
CITY OF CUP'ERTINO '
Date _"14_ _ l9 Permit No. 8 y�
Application is ereby made for a permit to-
story,Type fBuilding
at
to be occupied only as
e
in accordance with Plans, Specifications and lot-Plan filed herewith.t if
-_-ti
v .
Estimated Value of ImprovelS�enls,$ "�' �-�—d Pee$
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all r laws p i able tyy..,�d egos ruction location, and use of buildings within the City of
;-j Cu peiLb C�IiedFi86.
Owner ✓ems Address 7
II5'— Address' [�
/CON"r CTO �$ Vi' G /
Phone h. 9C 7 ._ _ Approved _
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVLS
k.., .
FOUNDATIONrRAMr
ECTOR
_ j ?
DTEE INSPECT 'rAsS_• }*
LATH a d PLASTER
INSPECTOR
A H It'�•
p.
FINAL BLDG. �—
ATH INSPECTOR '
FINAL ELEC.
JjDATV INSPECTOR 1
FINAL PLBG. /
ATH NSPECTOR '
FINAL GAS
DAIS INSPECTOR '
CERTIFICATE OF ' CO P
TSI"O N '- 'R '
BUILDING INSPECTUR•S OFFI �'
' CITY OF CUPERTINO
19 ' Building,Pemj�ti"t
No.
._I...
Date....- ............................ ! ....-
-) f G= VThe Building Lcted.at '1(�116.1................................. i,......... ..
Owned by r�
:...( . ...... /..Y......
:...
(Completed) f'I,
Has Bern (Altered) For Use As: .......: r+""` �f
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102 7/59-500
BUILDING INSPECTOR -
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