200 ' jo / LOT NO.
NO. ST EET
w APPLICA ON F041111 DING PERMIT
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o CITY OF CUPERTINO
a
LL
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o a Sanitary No.
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i LL Date re
196 Permit No.
o
LL W Application is hereby made for a permit to
O < / — /
iin i—�story,Type 7` .utl mg'
W
to be occupied only as
0 o in accordance with Plans, Specifications and d Plotan d herewith.
Estimated Value of Improvements, $ Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
j o Cupertino wil co plied with.
3 �
Ow Address
W a By Address
of
U Phon Approve
State Licens euu.o G SPECT0,
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adgftk
DATE: INS PPf.I'OR