2165 (2) 01�/ Mcg le 1, 1 ;OTNO,
N a O r
® APPLIC`ATI tuN F R UILDING PERMIT
o ° Es 7 .1953 i
OF CUPI:RTINO No.-
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3 a RJ Sanitmv i o. �l
cl o21
i LL Date '� `�9Gsze Permnt No._ �e \
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4 C4, licati is h reby ma e 1 permit to
oa
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a m a story,Type Building
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to be occupied only as f
a
0 o in accordance with Plans, Specification and Plot-Planfiledherewith. d�
" Estimated Value of Improvements, � CtM
0 3 P $ t Pee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
2 O Cupertino will be complied with.
3a
Ow� nMICI nPC�C Address
Z
By- Address
O Phone t//.� %—YY d") 11
t .
/JP� J91 Approves
State LtCCn$P �'� UOILDING INSNF TO
RECORD OF INSPECTIO 7APPROVALS
FOUNDATIONL /�3LL C`
INSPECTOR
UNDERFLOOR 2
DA IT, INSPPCTOR
FRAME
/ "/� DATII INSPECTOR
ZAIgl PLASTER
DATR ` SPRCTOR
FINAL BLDG.
DATR INSPECTOR
FINAL LLFC.
DATE, INSPECTOR
FINAL PLBG.
DATR INSPECTOR
FINAL GAS
DAT17 INSP);CTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'
S OFFICE
CITY OF CUPERTINO
Date ......5 ......:........
..................... 19.rr.- .. Building Permit No: ..................
The Building Located at ..m- Anil
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Owned by .................... .•r::�. .:.. /... ...........
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(Com leud-•- ...............
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Has Bern P )For Use As: '............_N.:.....:�.::�!-!!!"`'"1!
("Altered)•,. .........................................
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A- �N -'es i
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BUILDING•INSPECTOR
-" 102 1/63.500 .