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LL 4A�p�pliccatiioonn its hereby made for a permit tof, mJaLl—
APPLICATION FOR BUILDING PERMIT
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to be occupied only as ,!;;1 —k
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� ; Estimated Value of Improvements, $—Z 00 Fee E6L wow
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will a co plied ,. h.
Owner Address
By Address
Phone es --A— Appcove
State Lice'nse Z2 o o 7 BO NG INSPECTOR
RECORD
OF INSPECTION
APPROVALS
FOUNDATION
I
DATE
INSPECTOR
UNDERFLOOR
DATE
INSPECTOR
FRAME
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
j
DATE
INSPECTOR
FINAL ELEC.
-
DATE
INSPECTOR
FINAL PLBG.
DATE
INSPECTOR
FINAL GAS
Adbk
DATE
INSPECTOR