2193 (2) LOT NO,
NO. STR[ET
z APPLIC,�TI�C W-bll BUILDING PERMIT
s ITYs OF 3� CUP\ ERTINO
x- \� Sanitary No.
W o Done 196_ Permit No.
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o Application is hereby made r•a gerfnit t
aa TC//�
to a story,TY9e' � Building
a
r to be occupied only as n
0 o in accordance with Plans, pecifications and Plot filed herewith. �•�
Estimated Value of Improvements,$ . 7 L/!! err+ Fee$ 1.!5-
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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
o Cupertino wilLbe complied wh. ,, Q
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State License
LDING INSPECTOR
RECORD OF INSPECTI N APPROVALS
FOUNDATION
DATEt INSPECTOR
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DAT 1'. INSPECTOR
FRAME
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LATH and PLASTER
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ODATE�
INSPECTOR
FINAL BLDG-J4
INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR
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