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LOT NO.
NO. STREET
i! c;
AIPLICATION, FOR BUILDING PERMIT
Ct.ITY OF CUPERTINO
No.
Date
Applic tion is hereby made%
a �_ stO
to be occupied only as
Sanitary No.
196 r ---)Permit No._
in accordance with Plans, Specifications a
Plot -Plan filed
o�
Intimated Value of Improvements, $
It is hereby agreed that the r uirqqqeyments of
the Cupertino Bu
all ether awn applicah a to t eruc[ion,
location, and use
Cuperti o it e cam,l d with.
Owner r
Addresse
/
B
Address
Phone %t S?J—'3 -q O"7 Adak
State License
!1
Building
Fee $LYS�t�
Jing and Zoning Ordinances and
of buildings within the City of
BUILDING INSPECTOR
RECORD OF INSPECTIORtAPPROVALS
FINAL ELEC. -
-
DATE INSPECTOR
1'
FINAL PLBG.
DATE
i
FINAL GAS —Z—
C
INSPECTOR
DATE INSPECTOR
•
I
FOUNDATION
^F
Dort:
fR 7IG Ifr
4�sPI. rOR'
UNDERFLOOR
x' 4e(l
DATE
INSPECTOR
FRAME,
f
DATE
INSPECTOR
LATH and PLASTER
INSPECTOR
-FINAL
BLDG.
DATE
DNsPEcrOR
FINAL ELEC. -
-
DATE INSPECTOR
1'
FINAL PLBG.
DATE
i
FINAL GAS —Z—
C
INSPECTOR
DATE INSPECTOR
•
I