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`.-',STREIT
lopD APPLICATWN FOR BUILDING PERMIT
q � � ��� LV
OF CUPERTINO
` Sanitary No.
DaU 3 196-1?Permit No. ?S��
pp ica on is 'ereb;rt d:e fora ermit to
1 0
a story, Type ria TU Q � Building
to be occupied only as nt'.Q'--Vx_ 7>�yin accordance with Plan,pecifications and Plot -Elan filed herewith.
Estimated Value of Improvements, $ Fee $ `
It is hereby agreed that the requirements of
all other laws applicable to the construction,
Cupertino will complied with.
Owner %. 119 �h/`�.S / < / C E
the Cupertino Building and Zoning Ordinances and
location, and use of buildings within the City of
By Cr
ms's° S
Phone
State License
Address bLA- s e-- Qo
Address
Approve
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATF.
INSPECTOR
UNDERFLOOR
hjis
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
.1�Y
INSPECTOR
FINAL BLDG.
.0000
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS—#
DAT F.
INSPFCTOR