190 (2) 'i wo s
-� LOT NO.
NO. STREET
3APPLICATION FOR BUILDING PERMIT
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o CITY OF CUPERTINO
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Date 196 Permit No.
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LL w Application is hereby made for a permit to
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Building
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ato be occupied only as
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> "; Estimated Value of Improvements, $�� Fee$ v
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
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_ ,n Owner Address 7J0&, uo%PoLoo
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i U KJOIF �O D Approved WILLIAM D. 13ENIEVICH
LtGens BUILDING INSPECTOR
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RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL F:LEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR