905 (2) LOT NO. 16 ?�
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APPLICl4 ION FOR BUILDING PERMIT
CITY OF CUPERTINO
Date 195— Permit No.
Cl'rfp j6VtiomUhereby nrmijade f r a permit to
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a story,Type s Building
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to be occupied only as l5''
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of hnprovements, S /13112-e`ti Fee$�
I is hereby agreed that the require nts of the Cupertino Building and Zoning Ordinances and
all ther laws a ' icabl the truction location, and use of buildings within the City of
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h Owner Address ? /
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By Address
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BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION /
DA E INSPECTOR
FRAME, _/1 LI
DA"E INSPECTOR
LATH a d PLASTER
DATE. INSPECTOR
FINAL BLDG. ' l
D E INSPECTOR
FINAL ELEC. � , G
DATE INSPECTOR
FINAL PLBG. 7 G�
ATE SPECTOR
FINAL GAS
DATE INSPECTOR
CERTIFICATE OF COMPLETION -
BUILDING INSPECTOR'S OFFICE
- S, CITY OF CUPERTINO
Date .....4&........................... 19:!x! ... • Building Permit No. .: �
The Building Located at //✓!� d �•"` �' u''%• `.'. .
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Owned by .....0 -'-'�JJ.A/ ...%!��•Gi, ...
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(�omplMcd. T , �� ✓
Has Been�•(71lted) For Use As: ........
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I1IJII.DING INCPRc1'0R
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102 7/59-500 .