407LOT NO. 1
NO. STREET f
APPLXA ON FOR BUILDING PERMIT
F CUPERTINO
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Date 95_ Permit No._-_
4 155
—
Application is hereby ma for a ermit to
a sb y, Ty e, �� n1= �� Building
O
at le- 1 Y
1.
to be occupied only as
in accordance with Pla , Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ ,/s=;..IZ Fee S �/2'Jr.L��
N
W 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
"a Cupertino will be complied with.
v� Owner I Address.��jj�
By AddreS-s� ' 2
CONTRACTOR, AGENT -
Phone — -D S _ Approved
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
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g
INSPECTOR
FRAME
a�
Ti
INSPECTOR
LATH and PLASTER
-
D
IINSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
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_�
DATE /
INSPECTOR
FINAL PLBG.
DATE .
, INSPECTOR
FINAL GAS
DATE
INSPECTOR
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... fir:,:: ,...,�------.._........ . . 195. f....- Building Permit No. -' +� �.......
The Building Located at -
Owned by 1
( Completed) ;
Has Been For Use As: .... ...--'=•..... .............
...--•-----------------
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BUILDING INSPECTOR
102 2/59-250