1705 (2) NO: ST'"�`p�
® �AP. .CICQTION�� FOR BUILDING PERMIT l�
:r g }rpT}' OF CUPERTINO
1
T
?MAY
Date-- 19is�Z Permit No. l OS
,� I'ca ' n•is e(�byLrr�cF perms to Fe!- –T—
atsto W,T pe
t�l' Z-...�
Building
a.t /�.�0 UC dIOO,P�sf
to be occupied only as
in accordance with Plans, Specifications and Plot-Plan filed herewith.
" Estimated Value of Improvements, $ '?, Pec$
v
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
.-1 Cupertino will be complied with.
N -Owne / =S, Address 'Olcje�6f .e/a 66/��1�
By �7�<FyGAO Address C 7D
CONTRACTOR, AGENT
Phone Approved
Approved
BUILDING INSPL TOt
RECORD OF INSPECTION APPRO ALS .
FOUNDATION GL-
D INSPECTOR
FRAME 9�� a ,
DATE - �'; INSPECTOR
Fa�ITI-and5�LR5TER
DA---� INSPECTOR
••
FINAL BLDG. a �
`S. A-------1�� INSPECTOR
,J PINALF.LEC. �
DA R INSPECTOR
'-FINAL PLBG.
�DATB NSPECTOR
FINAL GAS / Z
DATE INSPECTOR
V
�CERIIFICATE ' Oz P L E T 10 N
BUILDING INSPECTOR'S -OFFICE
CITY OF CUPERTINO,
Date ------
.6?, P N
o
-------119 ;...... Build;n ,Permit,No .7
The.Building Located a
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Owned by .....
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�AS: .
Has l3eEq," Fof Use
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