217 N ET
` ON FOR BUILDING PERMIT
a i
W K
x o ® p ITY OF CUPERTINO
° a (,1 N 2 7 1965 Sanitarc No.
5
W LL Date 2 196... —Permit No. z 7
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o < CIT AFD`cati� [ fora rmy to ,
<� a ,-C� st y T Building
W 'tNl�d�_1"_
to be c i on 401yas
0 o in accordance with Plans, Specifications and Plot-Planfiled herewith. //
Estimated Value of Improvements, $_/_7_%6T_ Fee$�LL_(/ 40/0
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3i
_ ,a •caner� Address 2 y�
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By Address
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State Licens eut G [N.......
RECORD OF INSPECTION APPROVALS .
FOUNDATION
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
DATE INSPECTOR