2586 (3) 1000 z-- 1 e' ✓r' LOTNO.
NO. STREET '
w Z APPLICATION FOR BUILDING PERMIT
x o CITY OF CUPERTINO
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O Sanitary No..
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W t ® 196_ mit No._t�a
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saheereeby for a permit to
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0 0 M� cor nce w'iffi"PI'ans, Specifications and bb�Ploan filed herewith. Q _
g Estimated Value of Improvements,$/m Rl[9 — Fee$
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the consSru ion location, and use of buildings*within the City of
o Cupertino w' 1 be comp 'cd with l
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_ b Owner Address
Z By Addres �
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` Pon - APProved
State LicensBullDWG INSPECTOR
a57a76 - 62-
RECORD OFA INSPECTJON APPROVALS-
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DAT 1'. INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
1161("1-
A// INSPECTOR
FINAL BLDG.
D IS INSPECTOR
FINAL ELEC.
D 6 INSPECTOR
FINAL PLBG. -
A(o
INSPECTOR
FINAL GAS
DATE T- ,
INSPECTOR