181 LOT NO.
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W ® OOR BUILDING PERMIT
IDAUG 7 9964CI F CUPF.RTINO
o < Sanitar} t\
o.
5 0 ���
W „ Dam 196 Permit No.
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W r App kation by n l'a'p Isherermit to
O < y r
i to a story,Type Building
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to be occupied only as
0 o in accordance with Plans, Specifications and/PIot-PIdZfiled herewith.
F ; Fstimated Value of Improvements,$� Fee$ 3
i J 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
J o Cupertino wil e comp with.
3 < Owner [/ Address
— N
W Z
W By Address
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,a V Phone — �J — Approved
X11'' State License o BU .DING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
FRAME
DATE. INSPFCTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL[LEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adak
DATE INSPIICTOR