236 (2) 4- •5 4p � J(�f� l/�
LOT NO.
NO. STREET. -
`Z ] 5rj APPLICATION FOR BUILDING PERMIT
- 4CITY OF tCUPERTINO'�
Date 2:.?i.t 1 T"1 t5,Z" Permit No.
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Applico f on is hereby made fora permit to
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11 .� a �5toryTY.P7n
Building
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j m be occupied only as)Zr,r ER : s..,.. e- ?' -1
'in accordance'with`Plans, Specifications and Plot-Plan filed herewitH. •''�;'pr '
.,:, :.Estimated Value of'Impro_bements, Fee$
r.'•., �\4 vis;hereby agreed`that the requirements.of the,Cupertino Building and.Zoninw Ordinances and
t .a allhother :laws applicable to the 'construction,' location, and use,of buildings within the City of
Cupertino w co d with. s .�
� ' y. % �, C..r." '-L�•;-_mac ��v .� � 7
'•+: '.'Owner, Address
By N. - Address
ICONTRA CT , AGENT
Phone C/ Approved
BUI DING INSPECTOR
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RECORD OF INSPECTION APPROVALS
FOUNDATION
ATR INSPECTOR
FRAME
ATR - INSPECTOR -
t LATH and PLASTER f
ATF. INSPECTOR
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FINAL BLDG.
h AT INSPECTOR
FINAL ELEC.
DATE INSPECTOR
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' . FINAL PLBG. -
ATE INSPECTOR"
FINAL GAS '' •' "` < 'a,`
.++D TF. �`' '% C INSPECTOR` I SG'��
CERTIFICATE OF C MPLE:TI'ON ~
•. BUILDING 1NSPIiC 'OR'Sr ITICG -
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.+^y' CITY OF CUPI'RTINO. '-.�--
Date ...... Y•..:,'195 Building PennitNo
.. .The Building Located,at —2/,;x ".'.-fit .4,e�";.{.mak v^,e'',,.,/, r-sem',,;`^' o._ { a�s�';`•�::.
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owned by'.... ✓ ° eI'..�.✓ i , h'; u. a�.'rfr',r'�r•f'. "�":
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.'.l las BeellFor'Use-As -
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. xBUILDING INSPECTOR:
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102 2/59-250