424 NO. STREET
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w APPLICATION FOR BUILD G PERMIT
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z ° "'pp Y OP CUPFRTINO
o Sanitan' 1`0.i LL D196Permit No.
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o a permit to SO L4�4 '�7[ (. '01-, �
i to a s{o0tl - .� X /o
UU Building
W I to be occupied only as
20 in accordance with Plans, Specifications a t filed herewith.
F ; Estimated Value of Improvements,$ Fez S-
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d O Cupertinow!b�'fmnpl ed�w`ith
3 r Jay—.,J L�✓/ P J Address
Ownger�
W By /�/g7t�L//�'/� ���f/1/� Addr b� f
< o Phon 3 73 -L-
-0 App
State License DING INSP..CI'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR j
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR