2734 4 LIQ 9tL U LOT NO.
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�APP,L]ICATION FOR BUILDING PERMIT
@ITY OF CUPERTINO
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° < < �C 1 �96� `IJ. Sanithn' No. •'J :J
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W o Date p 196ff Permit No.
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o r 'A is t Isfheteb made fora permit to BI'BE_'"
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z to am/1/Ael story,Type .3 LS 'eleez 3."Ly Building
to be occupied only as :5 lY eg� zr'� l,La/-lam Yi a- s y
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Y
> 3 Estimated Value of Improvements,S 6422y-6- Fee S
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be ccunplied with.
3 CA (-,C1rn.PFAe Address'o. L4'-
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aa Address
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State Licenses, 9-Z�Oja U INO INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION zaDATE I SPECTOR
,.
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATES L�f PECTOR
FINAL BLDG.
DATE I INSPECTOR
FINAL ELE r �--
DAT
INSPECTOR
FINAL PLBG.
ATO INSPECTOR
FINAL GAS
D F. / INSPECTOR