100156 LOT NO.
Z < No APPLICATION FOR BUILDING PERMIT
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ILL Date 196_ Permit No. %� d. /s `
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W W Application is hereby made for a permit to
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0 o In accordance with On`s, Specifications and Plot-Plan filed herewith.
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C� 3 Estimated Value of Improvements,5� Fee$ a?T —
�Oz 1�Fs hereby agreedithat the requirements of the Cupertino Building and Zoning Ordinances and
J z alltdther laws applicable to the construction, locatiop, and use of buildings within the City of
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Phon „? App,O,edVJILLIAPA D. DENIEVICH
,\ State License BUILDING INSPECTOR
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