423 4L
NO. STREET
W a AkEUIQATION FOR PER NG PERMIT
r ° ® C OP CUPF.RTINO
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° J Sanitary No.
5 7 -f�?3
I LL Date 1 P rm;�it,No.
'o Application is hereby made for a permit to ,� ��
iin a -0 oryC0PFRT1Njkk HCl) Building
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to be occupied only as /Tl/�/��f
oo in accordance with Plans, Specifications Plot 'filed herewith. 00
r 3 Estimated Value of Improvements, $ Fee$ 7
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
2 O Cupertino wd e c m lied with.
3 Q.
P j P
— 0 Owner__ ( Address C_
a o Ph
—U on S S� Approv
State License .owe wsNEccroa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME j
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE INSPECTOR
FINAL PLBG. j
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR