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A
-TLLv -- LOT NO. _ NO. STR . .T
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
/-zw.i5— Permit No. _
s � ebjgg* fo mit to
story, Type - -1 Building
at
to be occupied only as e- a%.-�
in accordance with Plans, S ifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ rLAG Fees x �• ��
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.
Ow yin c* -S Address C_/
Address
CONTRACTOR,
CONTRACTOR, AGENT
oneAPProvecj-��t.t.c-�-Cc���
BUILDING INSPECTOR iyl,
RECORD OF INSPECTIONAAPPROVALS
.n i
FOUNDATION
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
FINAL GAS
INSPECTOR
INSPECTOR
INSPECTOR
CERTIFICATE O F COMPLETION
BUILDING INSPECTOR'S OFFICE
[DY OFCDPED7INO
Date—,�/' `,-/�// .---. �y�~�--
Building Permit No . _�.--�--.
—' --..�, --.—.
The Building Located at ....... ------ ------ ----------- —............... _____-
O"ued6f----':------'----.-----.^'r------------------
�
BxsBcro(Completed) orl}se As: .... -��_�r--......... ...................... ...................
(-Altered)
.......................................................... ...... ..............................................................................
................. ............................. ---.....................................................................................
--� ''—_'BUILDING INSPECrOR
102 2/59-250 �