2246 I.nT NO.—
NO.
O.NO. STREET
w �APPLICATION FOR BUILDING PERMIT
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OITY OF rUPERTINO
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Sanitary No. �I ;733 DaPR 4 X953 196_ Permit No. asJ6
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4 W Application is hereby made,for,a permit to
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i m a r� I �srory�Type„ I ` - - Building
to be occupied only as
0 o in accordance with Plans, Specifications a -Pnd Plot- Ian filed herewith.
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Estimated Value of Improvements,$ 4W e44 Fee$ I—z'T�—�
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all ether la applicable to the construction, location, and use of buildings within the City of
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- m Own , Addres
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au Phone -�S/ Approved
State Licens / BUILDING INSPECTOR
RECORD OFJINSPECTIO L
ALS
FOUNDATION _` �' '
DATE, INSPECTOR
UNDERFLOOR
DATE INSFPCTOR
FRAME I
DATE 10A=INSPECTOR
LATH and PLASTER '
DATE INSPECTOR
FINAL BLDG.
SPECTOR
FINAL ELEC. (J
' DATR I{IfiPR'CTOR
FINAL PLBG. �a
M DATR SPCCTOR
FINAL GAS
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