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APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sanitary No.
W , Date .196_ Permit
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OR r Application is hereby made for a permit t
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Tribe occupied or y'as� ��
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0 o in accordance with•Plans,6pecifications and PI an filed herewith. p
1 3Estimated Value of Implements, S o22omo Fee S �•
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z J It is hereby/!Bregd that the require of the Cupertino
J Z all other I�wdra6` hli61el5tot the construction, locatiog, and
d 0 Caper in ill be mirplied`ith.
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By� ��I%%/ —T Addre
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< 0Phone t� 7,r 4 7 AS
Appro
State License
Building
Building and Zoning Ordinances and
use of buildings within the City of
i�r
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE.
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECTOR
FINAL ELEC.
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
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