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LOT NO.
NO. STREET
W Z APPLICA ICS FOR BUILDING PERMIT
`r ° -CITY OF CUPERTINO '
0 'LL /
° � Sanitary No.
i n bate 196 Permit No. 5
0
0Applicat i1V is hereby made for a permit to
a �C'z to a story,T � - Building
w Ito be occupied only as_
a
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
„a /z C C
F g Estimated Value of Improvements, $J Fee$
oa
z J 'It is hereby agreed that the requirementsof the Cupertino Building and Zoning rdinances and
j z all other law�v�s//applicable to the construction, location, and use of buildings withln the City of
j o Cupertin to complied wrt t ',
3 m Ovvnev f ��L��e��/ Address
W
rc a By Address
a o Phan
U G Approved
t/n�Jt State License 11111I.EaNG 1NSPncrort
V — r
RECORD OF INSPECTION APPROVALS '
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
. D INSPECTOR
FINAL BLDG.
DA E INSPECTOR
FINAL ELEC. I.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS --
DATE INSPECTOR