1211 (2) 20 11 c ane LOTNO._7_t Tract 2 _
APPLICAT t R BUILDING PERMIT .,a: •..
i(JUN 13;1�6i IAll
P cuPpxTlNo
Date June'6 ! .•'r's. g� . ' Permit No.
Af'ITltiot4$hetrel�Fn. A. il P1rmit to -bU].ld '
a 1 1 2 "'story,Type, �' 51 J Building;
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at 20911''PwpTrww°Tanw
to be occupied only as 1. fermi l v rwgirienc
in accordance with Plans, Specifications and Plot-Plan filed herewith. 6
N
Esti mated Value of Improvements,$_1R,n00,no r Fee$' 7_'g0
t r ❑. It is hereby agreed that the requirementsof the Cupertino Building and Zoning Ordinances and
$- all other laws-applicable to the construction, location and use "of buildings within the City. of.
C r .-1 , Cupertino will be.complied with. - t\ -
�rl .t ,`.M Y ..,iia
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. Owner ±19S�61EALTH.RMT •T1EE,-, 'TN(` ✓ Addie s Wl lie to X uo ld
aveo
D/ r//r//��i/�f Address r l s/ '
q CONTRACTOR, AGENT
F. ``II y
TPhoneL - •p_' �-�
Approve
Nm LDI NG INSPECTOR
RECORD OF INSPECT1,Jry N'APPROVALS
FOUNDATION
I ATE ' ." INSPECTOR
FRAME'
ATD -, :, ct�:.. � INSPECTOR ' '
LAT and PLASTER
ApTII! ^ EIiCTOR
FINAL BLDG. � •' '•"":.
INSPr. OR
FINAL ELEC. /
6 _INSPECTOR
FINAL PLBG.
'DAT INSPECTOR
FINAL GAS
I
DAA �i INSPECt'OR ,✓ n
( `CERTIFICATE OF ' -, COMPLETION
- +
.BUILDING 'INSPECTOR'S OFFICE
CITY OF 'CUPERTINO
Date .,.l. .. 1911'j Building Permit No.',-
The
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The BuildingLoCated�at.- ��'
Owned by •(��✓I'f,✓Yjta • ,�+''//'^s' e-e.� i✓.. i '/! `' •' - '' '':
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(Compleicd s /�'
Has Been For Use As 5 - iy� -:�r
(Altered). •� .�•
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.. BUILDING IVSPLCIOI : c
102 4/6l 500 ,.: _ `• "V.'4
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