602 /rte Z2 D I / I A LUT NO. Q -Ill
NO. STREET J _�
APPLICATIO�FOR BUILDING PERPAI / CJ'CJo2
✓ OF CUPERTINO
G Ir . y
Da hhWcatmnsn
Permit N Co _
�p!]NLas heta story ` Building
atrA F Cto be occupied onlyas
in accordancewith PlPlot-Plan Filed herewith. �7 O
Estimated Value of Improvements,$��J-- Fee$ �/
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C It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other la. livable to the construction, location, and use of buildings within the City of
;--t Cupertino/wi e c mplied with.
v i
Owner Q�� Address
Byi Address
CONnTRACTOR, AGE`T �+
Phone O oC — Approve
BUILDING INSPECTOR
RECORD O IF' NSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
e'
FRAME
DATE INSPECTOR
LATH and PLASTER
ATB INSPECTOR
FINAL BLDG. , d
INSPECTOR
FINAL ELEC.
D TE INSPECTOR
FINAL PLBG.
D T6 INSPECTOR
FINAL GAS
DATE INSPECTOR
CERTIFICATE~ OF COMPLETION` 'F.' r
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ....... :f.. ........................ Building19.fnU../ Permit No. ..+!'�!G�.......
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The Building Located at ...1Q.f�� ....._`..� ..'au''4 f ................
3
Owned by . ...... .....................................{1� r "✓'.:�
..................... ...............................
(Conpleted)
Has Been (Altered)'` For Use As: .......: ✓.f..` _ -.,
............. .._...._................ ..... -_.........................._._.. ((((......f...._........._..............................
... ................................_................--
---.... ............................ ........................................
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''BUILDING INSPECTOR
102 7/59-500 /