2780 /06aV fR��.1C.LC� :� `c ' IAT NO.
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A P A TNa FOR' BUILDING PERMIT
° CITY OP CUPLRTINO
a �NOV 21 9969 JV Sanitary No.
Date 19WC�" Fee
MValue
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LL Ctc�r�byrn�d um a
oa
a o ary,Type Building
to be s
0 o in acPlans, Specifica o s �,Q
0 ; IntimImprovements,
i J It is hereby agreed that the requirements of the Cupertino Building-andzZoning Ordinances and
J z all other laws applicable to the construction, location, and ux of'buildiri s within the City of
-_' o Cupertino will be mmplic with. ,rje. .g
3 � \
— m Owner �,,)� C.A�dress '
w By / C1 rs Address
a u rPP Phone.2 5'.7— °i-f Approved
. o
p^ State License BUIL N. INSPF,CTOR ,
A
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
nn IrvsPEcroa
LATH and PLASTER
�Tyl� I INSPECTOR
FINAL BLDG.
DATEL, INSPECTOR
FINAL ELEC.
DATE INSPECTOR
171NAL PLBG.
•• DATE INSPECTOR
'PINAL GAS
DATE INSPECTOR