416 z c 3z t� L.r� i3 y a.
• LOT NO.
H Q NO, rT`EkT�
w APPLICATION�F,OR BUILDING PERMIT
E � 1rJ i ,
r ° _ CITY16F CUPERTINO
LL
5 a s ��� 1 J 1967 �`'1, Sanitary No.
U
Dare 196_ Permit No.
n.`o ApApplication�sthereby made fTo,INpermlit o
i m a 9 )1�Q story,T peW�
to be occupied only as Kd •� Att�I1AAAke CA
o 'o in accordance with Plans, Specifications and Plot-Plan file herewith. ��O
0 N
F Estimated Value of Ioa ements, $ ( �� Fez$
zJ It is hereby agreed a requirements of the Cupertino Building and Zoning Ordinances and
J i all o ws appliesthe construction, locatiuq, and use of buildings within the City of
0 pertino ill be compth.
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_ m Ow A "I;-
--k-4Q Address
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W By Address
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0Phon L Appro
State Licensr
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RECORD OF INSPECTION APPROVALS
FOUNDATION I
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
1