3039 (2) ..9_V t .IAT.NO.
No. ET v
w APPLICATION FOR-BUILDING PERMIT
p LL o CITY. OF CUPERTINO
O Q Sanitaty.No.
ILL Date "� ry196 Permit No.—'
O
1t=3 .3
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w ' t Application is hereby made for a permit to
a N a ` " story,Type S "1 'le X3Rod mg
r to be occupied only as - n--e -a../.� . Lx o-o—� - '+•�,. 'tt
o o in accordance with Plans, Specifications and Plot-Plan filed herewith. 4 •t+sjv'
Estimated Value'of Improvements,$ .°-" Fe c$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoni Ordinances and
.a, • all other laws applicable to the construction, locatiop, and use of buildings within the City of
Cupertino w�illll be complied with. •: '
Owne -s> Add res •� db
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By Address'
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<�o -Phone a-f�� - -.
_U �9 .': .Approve
BU
State License . G INSPECTOR
RECORD OF -INSPECTION PPROVALS
FOUNDATION I
DATE INSPECTOR
UNDERFLOOR. 1., •
DATE INSPECTOR
A
FRAME
' r}�,� DATP' �`3'¢4♦i� INSPECTOR
E LATH and PLASTERS
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DATE _ INSPECTOR ,
I FINAL BLDG,
1 DATE � INSPECTOR
FINAL ELEC. y�
DATE INSPECTOR
f FINAL PI-BG.
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DATE ;{. INSPECTOR
FINAL GAS
D`II IS -INSYP.C.TOR A