83 io ago LOT NO.
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NO. -Sr
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At - -LHCMTI FOR BUILDING PERMIT
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fgIOF CUPERTINO
UG291963
`•4q� a it ry Na.
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i 4 Date 196_ e rt No.
0
o IPIIDmpdTfoN,Tlatgnshrer
a•pe tto
a
i a a story,Ty 'Y` Building
aw
to be occupied only as c
0 o in accordance with Plans, Specifications and Plot-Plan filed herewit C
N OO
g Estimated Value of Improvements,$�00 `— Fee E
0a
z J 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
0 Cupertinl will be c plte wit
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_ ,� Owner 2Yc Address
rc a By —la-rJ� � , s Ad_ . U
a U PhoneS3– A rove
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State License LDING I....
CI'OR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR ..
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DAT INSPECTOR.
FINAL BLDG. i4 \
DATE INSPECTOR
FINAL ELEC.
DATE INSPRCTOR ,
FINAL PLBG.
DATE, INSPECTOR -
FINAL GAS
' DATE INSPECTOR
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