4046 22.•36¢' l�tve " rrLe QRIoF -t. No. S
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` ® �Q FOR BUILDING PERMIT
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0 , 1APR 21 19641 Sanitary No. '�0-s�
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Dat e 196 Permit No. o�
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((�;� h ati is hPf2tS�dt�de"fon permit to
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i m a story,Type FR H 1�"e Building
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to be occupied only as l FA rra l,L K2 S.
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0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. /
F3 Estimated Value of Improvements, $ Q OOO Fee$ .3'00
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all otherlaws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with. ,
3 N Owner Address .Str /71 t L A
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(U Phone ` Approve
State License B ING INSPECTOR
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RECORD' /OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR -1f-
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH nd PLASTER /,/-/2- /
DATE ' NSPECTOR
FINAL BLDG. /a -02o�L7/ j �/
DATE 1 yT Z/ SPECTOR
FINAL ELEC.
DATE IjqSPECTOR
FINAL PLBG.
DATE ECTOR
FINAL GAS •��- ' C
DATE INSPPCTOR