NO PERMIT NUMBER Bldg. Dept
• *Office Copy
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Sewer Connection Sanitary Permit No. ....4�f3po. r.......
Plumbing Final Plumbing Permit No. ..OP7.5.?..........
Lot No. ----/ -----------
QV4.
Owner or Tenant ... . ........ ......
............ -7...... ..... .
At .................... ....... ..
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Tract ..........%%Ao- .......................................................................................
Date Connected .........................:..Qr...-"/
......................... ....................................................... 19A/0�../
Date Final ...................................��7//............ ........
. ....................
............ PLUN��
,PLUMB NGANSPECTOR
111 7/63-IM
o.
CERTIFICATE OF . COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF: CUPERTINO
/� ..::....:.............. 19.4.7Buildirig:Peiuiit No.,..:.......:.. .
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The BuildingLocated ab ...-r9.
Owned b /-'r'o/". ...'..' :.''.z'.'1.7".'� :..:. _ .,"
y ....G r?... ... ..............................:...:...::....
Has Beent (C°mplete or Use As: j ,`E?-{ fir'/
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"(Altered) .rt.,- ....................................
..........................................................................................................................................
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BUILDING INSPECTOR
102.7/63.300
ROUTE SLIP s�
File No .
%D
Date Out's
Date In ',
Location �,• /
Subject .
Notes
Approved-
Date Inspector