1704 (2) �O�•c/`y /,F{�C t F/V. LOT NO.
.._.
NO. �T' ET i .._.
® r4PPINC T O OR BUILDING PERMIT _
1 MAY 1g6Fh OP.CUPERTINO �l
Dale_ y •N 19�z Y_
Permit No. b
Al li��a Ton filer � a [p�[M�,{O,,,
1 j ��• �17i- 1\•T iYgtY•"it to r
a story,Type -. - v�T ,T Building
at
to be occupied only as
in accordance with Plans Specifications and Plot-Plan filed herewith.
J 7
Estimated Value of Impfovements, S-/ �� Pee$70�
� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws ap licable to the construction, location, and use of buildings within the City of
;.a
Cupertino will be mplied with.
N OwnetF�//'LE)'•�• Address
By elmx�Y ' ��� •. /gyp. Address' !O 727
CONTRACTOR, AGENT
Phone ' /Og Approved '
• BUILDING INSPEHTO
-RECORD OF INSPECTION APPROVALS
FOUNDATION
�D F. INSPECTOR
FRAME
ANSPECTOR
DAT i!CTOR
FINAL BLDG. �� 1-�!
DAT PE:CTOR
FINAL ELF.C.
DA--_J� SPECTOR
FINAL PLDG. �
D SEE TOR
FINAL GAS / Z
DATE INSPECTOR
CERTIF.I`CA'TI O'F`,`CO'MPL`ETION
?t �,_BUILDING BVSPECTOR'S OFFICE �,^ � '
�t{ . ' CITY OF CUPERTINO
7
' Date 7 '
41 �-rG ud,.din Permit"
.The Building,
p t
Owned lby ' {t. .. MI s
' (Compl ed• " n
i Has Be .,, ed)- or Use;As - 1`-" ------
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{.. . .. .P.:, i
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102 A/61500 "
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