871 eLu'T NO.
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STREET
a: NO. APPLICAT : .FOR BUILDING PERMIT
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CUPERTINO `
Date—A.
atc /�C /' f 99Permit Nu. /
Ap licati s hereby made for'anmit to
a story,Type I Building
1 at01
11 to be occupied only as
! in accordance with Plans, Specificatio s and Plot-Plan filed herewith.
t Estimated Value of Improvements,$ // Ah 11 Fee$ �p
It is hereby agreed that the requirements of the Cupertino Building and Zoning, Ordinances and
allother Iw" a p' Is to the cons ction, location, and use of buildings within the City of
Caper - ....
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`{..Lw Owner Address
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/cON A �}G
Phon d.. 7 /� Approve
BUILDING INSPECTOR
RECORD OF INSPECTION IAPPRROVALS
FOUNDATION 16
D TE ) INSPECTOR
FRAME _
DAA INSPECTOR
LATH and PLASTER
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DATE � INSPECTOR
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FINAL BLDG. Cr"/'
DATE INSPECTOR
FINAL ELEC. a -
DATE / A INSPECTOR "
FINAL PLBG. cp
�y^ DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
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CERTIFICATE• OF COMPLETION••
BUILDING RVSPECPOR•S'OFFICE
CITY OF CUPERTINO /
Date .......':1:` ' 19 .... . . Building'Pmnit Nd. :.. 7!..:.:..
The Building Located at.;�� Rr.....:......_...
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Has Been Altered ) For Use As: .......
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I +!�yy BUILDING 1101313 .OR ;• • •o
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