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NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
Date 196 Permit No. Zq
Application is hereby made for a permit to1��e�
a storyATe — Building
to be occupied only as `
in accordance with Plans, Specifications and Plot - fill O herewith.
Estimated Value of Improvements, $ �11�rczQ�. Fee $� O ��
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiu4�, and use of buildings within the City of
RECORD OF INSPECTION APPROVALS
FOUNDATION
DA,rr
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
DATE
INSPECTOR