99 L �Q S� // I���/ r�`'✓�Y � LOT NO,
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® P.LL.IC�TIOhNt FOR BUILDING PERMIT
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� OF CUPERTINO
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i u. . Oate / Z 196 Permit
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o r CAp ica '/fiIs ym�de �a permit to
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zz w a story,Type lw/I� Oil ing
to be occupied only as
0 o in accordance with Plans, Speci cations and Plot-Plan filed htfrcwith.
> ; Estimated Value of Improvements,$ Q Fee Z
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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 const coon, location, and use of buildings within the City of
o Cupertino will be complied with.
3 < Owner ,�r/K Address&-)
p a. By 4z2 Addres elf 7-eU
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<U Phon y Approve _ ,4- �
g, State Licens b BUILDING INSPECTOR
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RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR '
UNDERFLOOR
DATE - _ INSPECTOR
FRAME
DATEINSPECTOR
LATH and PLASTER I
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FJNAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR