2329 .. // 34 .'• OT \
NO"b .
STREET
,.z APPLICATION FOR BUILDING PERMIT
O CITY,Or CUPFRTINO
. 0 LL.
"_o a' SnnirtrV No.
3 Clm „ Uarc 196_ mi[ No.
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r
o `Application is hereby made for a permit to �'
z N a story,Type •� �e. Building
aw ^ -
-� a � to be occupied only
o o in accordance with Plans, Specifications and Plot-Plan filed he ,�6
a.St - -- i—
F 3 Estimated Value of Improvements,$ O a�Z� Fee$ O
�r i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
zall other laws applicable to,the construction, location, and use of buildings within the City of
0 Cu pert' o will be,,c`)mpl'ed with. ,
3 a /Na Address ' o �S �.
Address
. Approve
} B IL6II
NG NSRP.CTOR .,
State Licensed/���7. j - ..rr . •,
r;�nK 70 ;
. .••RECORD OF INSPECTION APPROVALS
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FOUNDATION
DATE ��� r' INSPECTOR
UNDERFLOOR
DATE INSPECTOR
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RAMF S'
DATE INSPECTOR
L. Hand PLASTERou� ! ` a HH
FINAL BLDG. i Z \ l t - TDY/63
DATE INSPECTOR 7'
IZ 11_ 3
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FINAL ELEC.
DATE 2 INSPRCTORk
FINAL PLBG. �.�^ 1 ^� 21 ,: 6Ii'''•r.
DATE { SINSP,ECTOR
FINAL GAS
V bATR lINS}f C.TOR
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