1364• l `l"l Jb \`J SL.'(�J�I t n V�AµCLOT No.
NO. STREET '
• LT FOR BUILDING PERMIT( `\\
SOP CUPERTINO
Dat E_1_2 .,195— Permit No. /.S(,
,rApplication is hereby made for a permit.o
-a CITY O.EStfi�1 KI .' � � s' Building
Q at
to be occupied only as —
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ ` b is�V Fee$ t \
v
It is herby 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
a Cupertino dl be c m lied with. '
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Z Owner � /i F!/• CU' " Address'
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s /geO%�CT
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C� ter-Phones
Approve
t Bm LDING INSPECTO
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RECORD OF INSPECTIONQ-APPROVALS
FOUNDATION '^
DP. INSPECTOR
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�AT ee TER ^' .
' DATE � � INSPECTOR
FINAL BLDG. / '9W WI '~
a DATE ✓ - INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DAT& INSPECTOR
FINAL GAS �✓i
DATE INSPECTOR
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
r CITY OF ;CUPBRTINO
Date .---,r- .�/. ...,......::..... ; 19.��/:_:� - Building Permit No.r� ---
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,The Building Located.,at ..,�`.'..t.',�. ° <.'', _ !a.�l. !—.i'-,�!?.`•, .ee;is,.;:,.
a .a -- --------
Owned by ---------L i u� e' •� ---�.4 .:.....:..
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(Completed) ✓`
' Has Been _:.
.
..-For Use As: ...�e"�..I
ltere ._. � -
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~ (BUILDING INSPECTOR .
102 4/61-500