24901 (2) I.OT NO.
NO. STREET
N Q
w ¢ „QPRI�10l
)N196—
FOR BUILDING PERMIT
r � 1Or CUPERTINO
o Sanitary No.
D to / �UPermit No.-1---2 19�!
w Application is hereby made for a perm) to �e eF-
01
�t��P€ Tim — �3
<� a � � x3<UuMing
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to he occupied only as
a
0 o in accordance with Plans, Specificaand Plot- filed herewith. 5 CV
> 3 Estimated Value of Improvements, S S«� Pee$
O J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j z all other laws applicable to the constru location, and use of buildings within the City of
d O Cupertino wil pomp ted tvi r
3 <
_ N Owner >�«r Address
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a By �+y Addres O
a 0 Phan S `/. 5—
3 — Approved
State LICenCP� /�1 L �/E Bn1LnING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. O"�
DATE INSPE
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS — -�
DATE: INSPECTOR
i 1