580 /1-7
1 741 / I /�--I"` LOT NO.
NO. STREET+
` APPLICATION FOR BUILDING PERMIT .,-
S� OF CUP ERTINO
U �
Da (t (1 q e t t )5_ Permit N .
pf fi0'Gnhs het ad !,e' per t
11> a / story,'r e c`-/ Building
at CITY. OF.. CUPERTIN
to be occupied only ai -
maaordance with Plans, S 1 cations and P�Igt led herewith.
Estimated Value of Improvements,$ �� Fee$
❑ It is hereby agreed that the requirements of the Cupertino Building; and Zoning Ordinances and
u all other laws applicable to jhe const r ' n, location, and use of buildings within the City of
;.a Cu ert il be coei/with. •j
,. Owne ACL , ....�CIBP dr[-C..�
� Address
By / �ry L Address
Phon CO . T 9kf
Approved
BUILDING INSPECTOR (,{�
RECORD OF 'INSPECTION APPROVALS
FOUNDATION I
DA R
INSPECTOR
FRAME
T8 •• INSPECTOR
LATH and PLASTER /-2
ATE INSPECTOR
FINAL BLDG.
DATTEE INSPECTOR
FINAL ELEC. 6 G�
D TE INSPECTOR
FINAL PLBG.
AT8INSPECTOR
FINALIGAS q
I
no(T;, INSPECTOR
1
CERTIFICATE OF C MIPLETION'
BUILDING INSPECTOR'S DICE
CITY OF CUPERTIN
Date .........f?..� Y.................._......, 79_ri/.... Building Permit No. �:�.r............
The Building Located at ...._:c'>t''.'!✓. �..;`/..•�--t...
7.r
Owned by ......r'r >�l.A'i✓' •�:/.:....'""r'':,G!v�•+�.t''.�"..G!yt, /I,/A
_..............
--------......--------- ....
..........................
(•Compl(ted) t :....e.
Has Been �Alte'ed) For Use As: ...�-.✓... ��" '! ''�
. ........r..............s.............................
............._..........._..................................................................................................._................................................
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t r
.................
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102 7/59-500 ,•R[JiLDING INSPECTOR� - �