357 (2) /D 3,2
NO. STI .T
I
APPLICATION' FOR ,BUILDING PERMIT
CITY OP (4JPERTINO
Date 195. Permit No._11 cJ�_
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t,\ a yto15 yasa UP Building
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1 to be o�Y op}yas NI ISE
in accoYcfahCe w"01.i PlansVSlpe ' tcations and Plot-Plan filed herewith. n
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Estimated Value of Irnproveme ts,$ I/ Pee S
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction,-location, and use of buildings within the City of
Cupertino will be complied with. -
yr OwneiAddress
B. � �Gc J Address
Phone yCONTRACTOR, AGENT Approved — e
y
BUILDING INSPECTOR 7X�
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
FRAME
PATE �� .INSPECTOR
LATH and PLASTER I•J —
ATR, UNSPECCI O`R�
FINAL BLDG. �'p'"
ATE INSP17CTOR
FINALBLEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR '