2905 fd3� � �, / cq
rLOT NO.
TPJ, PPLICA O OR BUILDING PERMIT
CMAR 6 9640 F CUPERTINO9s6
a Sanitary No. -
50
Date—
YJ� WPMIi Permit No.
0 1 I1 U� lr R�
o
Application is hereby made for a permit to
a a �_N a story,Type= Building
to be occupied only as
a
o `o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$��r GW a, Fee$ r
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d 0 Cupertino will be compli d with._
3 0 Owner C_:.Z.X!/r J Addre6 d' 6-k
w z
EL By At,,
Q0Phone JG —5�-7� ApY
State License 16 su m c .Nsrec"o
" n T
RECORD OF INSPECTION APPROVALS
For ION �j2�5�
p, OC/D,ITV INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME 1 ` % �
DATE INSPECTOR
LATH and PLASTER
DATE ���-yVSP ECTOR
FINAL BLDG. '1/-4—Gy
` DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS L�G
DATE INSPECTOR
CERTIFICATE OF COMPLETIO'
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
4
Date------ ......................... 19Z../. Building Permit-N .--.2J�M7
tt
The Building Located at ................
Owned by -----
4 ..............................................................
Has Bee leted-tere For Use As: ..........
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102 7/63-500 OR