66 LOT NO.
20/
/Go4_�'1'iIBET � ��lf� `
w a Av^P^P'LICAT�1�1{ FOR BUILDING PERMIT
Eo Ce� u
LL JUL 2 19VJ LITS OF CUPERTI
o , anitan• No..
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i 4 p;,t tT Al1 nTlnlf'1196� mut
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o F pplic ion is hereby made for a permit to
z N a�story,Type Y1� S /v Building
to be occupied only as D G
o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
� ": Estimated Value of Improvements,$ SG Fee
o a y�
z J It is hereby agreed that the requ' ements of the Cupertino Building and Zoning Ordinances and
z all other laws he (LJGnnssttruction, location, and use of buildings withi the City of
d o Cupertino e. Ijed�,
3
_ N Owner � /U Address
W a By Address
<u Phone 2�'5 — 5732 Approved I
State License _ BUILDc INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE ' .INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME /
DATE. INSPECTOR
LATH and PLASTER
- DAT INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC,
DATE INSPECTOR
FINAL PLBG.
DATE. INSPECTOR
FINAL GAS
DATE INSPECTOR