2213 (2) LOT NO._._ ..
NO. F T
z A�'PPLICA 11�L`IFOR BUILDING PERMIT
r ° 41T OF CUPERTINO
3 RIAR 2 9 1963 WW Sanitary No.
i LL Date 196_ Permit No. (_
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'z m ` story,Type Q ilding
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to be occupied only as
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0 o in accordance with Plans, Specifications and Plot;Plan filed herewith.
Estimated Value of Improvements,$ Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cupertino will be c lied w- It /J
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Owner-� /n Address
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a By _ Address
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Approved
are LICen Se ru1.o G_[ OR
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RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE: INSPEC'EOR
UNDERFLOOR
r" DATHINSPECTOR
FRAME ct:) - fNIS -cob
DATE iINSPEC'1'OR
LATH and PLASTER
,DA/TE INSYRCI'OR
FINAL BLDG.
ATB INSPECTOR
FINAL ELEC.
1,NSPRCTOR
FINAL PLBG.
DA INSPECTOR
FINAL CAS
DATE INSPP.CTOR ��