430 LOT NO.
NK STWT
w iAP A ION FOR BUILDING PERMIT
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G CUPERTINO
ML a Sanitar{' No.
SO
i Date 1 6 Permit No.
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`o W App/hication i//s��hereb(y� naaddee for a permit to�T �/✓ ,r
iU1 a CITY stoy,"IY.N9rElr1 V ' roi✓ Building
w x SJM164 c�L`� e=T
,. � to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
> 0 p o
Estimated Value of Improvements, $ ��= Fee$ 7
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, location, and use of buildings within the City of
d o Cupertm wM be complied with.
3 Owner /' —� ¢^ c Address
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W W ol-By �,eD V �s��!i Add (o6
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0 PhoneY Approve
�, State License BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR j
IIATE 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 INSP FCTOR