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"� `� I.OT NOwZ lL'IC�ATOR'B bING PERMIT
0CITY OFACUPERTINO /3 a 196y Sanitary No
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w „ Uate 196_ Permit No.
° ITt! �� n1 J9CCRdeiN
o r �jlpphca s her byrmade�for=a per Chu
a
aN a_ story,Type. I Building
w
to be occupied only as
00 in accordance with Plans, Specifications and Plot-Plan filed herewith.
> N00 00
3 Estimated Value of Improvements, Fee$ �o _
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3Q
_ a Owner Address ..
wz
� a By /Arr moo. t Address
a o Phone U6. 1A49
_U - Approved
Strlse Lice s f r-mrd/�jr-rr"L ING INSPECTOR
1 l
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. - * INSPECTOR
i
UNDERFLOOR
DATE SPFCTOR
FRAME
DATF. 'SPECTOR
(LATH pd PLASTER
4DDATE ( INSPECTOR
FINAL BLDG. l I
ATE INSPECTOR - ,
FINAL ELEC.
DATE - INSPECTOR
FINAL PLBG.
TR INSPECTOR
FINAL GAS
��� DA E' INSPECTOR