31120174 CONFIRMATION OF ROOFING TEAR-OFF
City of Cupertino
Roofmg Inspector
Work scope: Re-roofing
Owner's Name: ELAINE WITMER
Building Address: 22114 HIBISCUS DR, CUPERTINO, CA 95014
I hereby confirm that I have inspected the complete tear-off, and have seen no rotten
woods underneath. Please consider this statement as part of your inspection records.
Date: / f
Owner's Signature: ELAINE WITMER
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