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OR BUILDING PERMIT RA
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� Date /s�T nnCC //������pp pp''[[, 196 Permit Fermit No.
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to be occupied only as X _r
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5 Estimated Value of Improvements, $ Fee$
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z J It is hereby agreed that the requirements of the Cupertino Building and Zon g Ordinances and
z all other laws apliable to t
ill he construction, locatiop, and use of buildings within the City of
O Cupertino will v6idv rGfe~s
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Owner Address
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Phon Approved
State Licen
BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTO0.
LATH and PLASTE I
DAT /- INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. - INSPECTOR