51114 vjoa 76 d4A6 1.OT NO.NO. S�EET
w APPLICATION FOR BUILDING PERMIT
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Y ° CITY OF CUPFRTINO
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w LL Date !/ Z 196 ermit No. Ill
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o F App ication is hereby made for mitt
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I N astory,T , Building
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to be occupied onlyg
00 in accordance with Plans, Specifications a j
Plot-P6Ied herewith. 00
": Estimate slue of Improvements,$� .+'+ Fee$�
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J It is reby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all of r laws applicable to the construction, locatiop, and use of bui ldin9within the Cry of
3 o Cup f i 1 lic 7-0 1 f7-�10.. (j•N—l.
< Own ' Address U
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W a By Address
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Approve
State Licens BUIL No INSPECTOR
RECORD OF INSPECTION APPROVALS
17OUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DATE INSPFCTOR
17RAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS Adlikk
nn'rE INcvvrmR