1376y
i b 1 I C\ A'. LOT NO.
TRE. T`•
p APLdYl FQR BUILDING PERMITC�'CI d ��
C EP 1210- c?� CU E.R INO'
Date_._:7l(�jjQ� •/� //�f'
t9rl
_ Permit No.Yui\��I� cat is m to
a story, Type Building
at
to be occupied only as —W
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $_ . a—o O m0, Fee $
It is hereby agreed that the requirements of the'Cupertino Building and Zoning Ordinances and
8 all other laws applicable to the construction, location, and use of buildings within the City of
,.j Cupertino will be complied witl
Q{ An I— Lf !1l ��
ro Owner t' 9 �� 0) i Addres
By Address
�c �t CONTRACTOR AGENT I
ho
ne e/J�f `�—DFi ,.,�^ Approved'
RECORD OF INSPECTION APPROVALS
INSPECTOR
FINAL PLBG. ,/y G y
FINAL GAS
FOUNDATION
FRAME
DTR . INSPECTOR
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4
ATF INSPECTOR;:
A Han P A TER
—
DA-� INSPECTOR_
FINAL BLDG.
—
FINAL ELEC.
ATF INSPECTOR
INSPECTOR
FINAL PLBG. ,/y G y
FINAL GAS
CERTIFICATE OF COMPLETION',
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......... Z-1010 ........................ 19! Building Permit No. '43 ,i -
r, r J .........�e
The Building Located at ---------------------------
........................
Owned by
------------------------------------------- : --------------------------- ----------------------------- ------
Has Be-e-n—_(C�Or4letiTj),
,,ti- r -,,,For Use As: ............ :� -------
eie........................... . ..............
.......... ---... -----.... ---------
........ ........... C. ------------------------------------------------------------
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............. .......W�......�.................
102 4/61-500 BUILDING . INSPECTOR .