2465 /0 / / ` � i - '•�i , LOT NO. /J
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O �Ra��T Il O
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�• APPLICATION FOR BUILDING PERMIT
0 CI OF CUPERTINO
0UL� 1963 c 33 0
o Sanitary No.
3�
F o Date r ���'96 Permit No.
LL 0 Application I here y m a for a permit to AL-c!r
z to '�IorY,Type ��rl�r�-z "�E'r rL .5�/� J Buildin9r
to be occupied only as
" in accordance with Plans, S cifications and Plot-Plan filed herewith.
00
o✓ 00
� ; Estimated Value of Improvements, $ ��� �'� '�' Fee$1h,8�
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 V
d o Cupertino will be complied with.,&/Of d, ��l N
3 < V
Own__er�y/.vc'�i Arm/ � ddress /1
W' a By '/Xn-> )u' —t4Lc.� - _ Address S '3
N SS P
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< o Phonel`�/o
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State L1Cen5 l BUILDING INSPECT
RECORD OF 'INSPECTJO APPROVALS
FOUNDATION J(
DATE INSPECTOR
UNDERFLOOR — 3
DATE INSPECTOR
FRAME -
DAATTE/ INSPECTOR
LATH and PLASTER 10 '
DATE INSPECTOR
FINAL BLDG. `S t — �I
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DAT' INSPECTOR
FINAL GAS
D TF. INSPECTOR