1916 LOT NO.
NO. STREET -
A- I IONS 0 ',-.-BUILDING PERYIT
•,,C k F ,:, UPERTINO
ni(lity 1 7" in
a�
Date �-
5�' Permit No.
Application is hereby made for a ermit to
aUTY : RTr��eE L ' �� Building
atell
s !(
to be occupied only as—G4 , o- c- � !{�'�-/ .��•c.c1T
in accordance with Plans, Specificati sand Plo�ed herewith.
\ Estimated Value of Improvements,$_/7000 Fee
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of. buildings within the City of
"I Cupertino will be complied with:
Al Address //JJ�� /�caner_ sriri
Addres 3
rnm
TOA, AGENT
T Phone Approved
BUILDING INSPECTOR
-RECORD OF INSPECTION APPROVALS
fgFOUNDATION .
DpTF/ INSPECTOR
P,
FRAM � �6
ATG INSPECTOR
LATH PLASTER
DATE d' INSPECTOR
FINAL BLDG. 3
DA E INSPECTOR
FINAL ELEC. / /"
DATE INSPECTOR .
FINAL PLBG. - /-5)-3
DATE SPECTOR
FINAL GAS,
DATE INSPECTOR
I
C�ER11F.ICATE O'F` C,OIVIPLETIO'PI ,.:
BUILDING INSPECTORS OFFICE
CITY OF."CUPERTINO
,Date -/'� / :. - -- Build Permit NoJ....
-. The Building.Located,at / ��.�-.e( ,:<.::.4. ' 2 6/y - ..
Owned by ---
Has Beefi.` �e ompletedor Use _As .,� _A /A,, (
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f
DING
t
`n- 102 4/61 500
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