51161Ip;� 38 ,
NO.
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NO. do
w i APPLICATION FOR BUILDING PERMIT
so
CITY OF CUPERTINO !^ 7. r
O J 5alLta r{' 1�I O.
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w „ Dare 196_ /' Permit No.
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LL w Application is hereby made for a permit to
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a i ri tory, Type ' �• um E Building
w, to be occupied only,
/m)accordance
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wi
1" 19a�
;
Estimated Value of
i'_j
�IF is hereby agreed
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o
all' other'li'ws,.aRpllc
Cupertino�witlib� tbr[
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aY—'
Owner
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By t•
Phon
s�Specifications Ind Plot -Plan filed herewith.
Movements, $ 00 O Fee $ to
j�
4he requirements of the Cupertino Building and Zoning Ordinances and
to the construction, location, and use of build gj �w�(t�_ thGC. ty of
with. ,i$JS A/j/q//) r
I
State License/ v r rnrriDING)NSYECTOR –
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE
INSPECTOR
UNDERFLOOR
DATE
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
INSPFCTOR