1365 Zc! \J - n.S2ti rL il( 'NO. Z .
NO. S RR.T- ..
,L•j Q,PI FOR BUILDING PERMIT r Z 3`
p� { , 1 OF CUPERTINO \
DatAM1195_. Permit No.
Application is hereby made for a permit,to
a _.��, nrstc (Q��e Building
Q at
1 aJ
t Q to be occupied only as • �.
in accordance with Plans, Specifications and Plot-Plan bled herewith.
~ Estimated Value of Improvements, $ 3'I 6—b O` Fee
f „'•.
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.B all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied
w ��f�+-}•.
t :? OwnerAddress 411�1
N r T a•-4y-Y�.
p}. ' . . ,I,;4 .ea 4Address
r CONTRAC9'OR, f T /
Pho e � Approved &s& WMAp
-J w UWLDING iNsRROTO ,
RECORD OF INSPECTION. APPROVALS
FOUNDATION
DAAJT&� INSPECTOR '
FRAME
G DA G INSP P.CTOR •'
DATE INSPECTOR
FINAL BLDG. 7�5 x '
DATE INSPECTOR '
FINAL ELEC. 11Z i/G z- '
DATE INSPECTOR
FINAL PLBG. 11112/�
DATE INSPECTOR
FINAL GAS
DATE �� INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S..OFFICE -
CITYERTINO
,,q I F CUP Building.PermittNo.. .... ...
Located at .. /��f f ;
t
The Building ..'�% % �l,- ..�p,y e
Owned by .. .- -+V.-..� Y>"'.lrt--- /1 R.1f'.z.✓.�' v
----------------- ---------
f
• K•i' (Com leted FM Use
A'Ite ed.. As: ....'�::`..:...: =t�s�"j'
Has.Been _
u .
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- ;.- 71 - / }
1024/61-500
.BUILDING INSPECTOR
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