2071 (2) 4 Y
2089 (,0 PEP ER TREE LAoc- LOT NO.
No. Txe '
P. cul ATISN FOR BUILDING PERMIT
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JA X. .
p ° 11I1Y OF CUPERTINO
3 ,f NOV 191962- Sanitary No:
i „ Dare cdCwl3E^R �s 196-2 Permit No.
~ o Oapl Eatefis ho tP AT01epermit to C"STROCT '
o a '
a m a story,Tye r .Building
w p t
to be occupied only as L4j t t Z
e
a
0 o in accordance with Plans, Specifications and Plot-PI filed herewith. 00
> � . Sera
Estimated Value of Improvements, y '- Fee a
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J all other laws applicable to the constructio9,location, and use of buildings within the City of
Il. 2 o Cupertino will be co[mplied with.
'C 3 G Owner CF1ARLESvi. LtN/.� {
t - Address%"It'
(k/M1'aEQ 7iEC- L,4NE }
W a BY Address
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If .Phone 253' 5'7 9 G Approve /IState Licens .nt wsyscrox
RECORD OF INSPECTION APPROVALS
FOUNDATION
'DATR INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME 3�
INSPECTOR '
LATH and PLASTER 4t"'MI:
7'0 DATE INSPECTOR
- FINAL BLDG.
DATE INSPECTOR
FINAL ELEC. '
DATE INSPECTOR
s�
s a.:'` FINAL PLBG...`. ., . . - @ .:�, _ -'4"' .
' Pij•.r .'y DATE f 3 t t INSPECTOR'
FINAL GAS i` "•
DATP. � S •.t t ~INSP EC.I:OH�l r
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