2718 NO.---_ STREE'D�
w a APP_LATION FOR BUILDING PERMIT
r ° ITY OF LUPI RTINO /�+
rc Sanitary No. �^J
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Ute 1 nns n Q 1oCQ 196_ Permit No.
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`o Application is hereby made for a permit to < F->t,
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zto aC-9 tstQ'rY Type Building
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to be occupied only as
in accordance with Plans,o0
S ecifications and Plot-Plan filed herewith.
3 Estimated Value of Improvements, $'��. �� Fee
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertin ill be complied with, r
3 xOwner Address 2 :5- t
W a �Bydress
< o ��11 � 6 ? 3 ^Y/� 'y
_�� Phone_ - Approve
kState Licensa,717S BUILDING INSPECTO -�
,riiJ=
Cq, � IN AP�PROVALS
FOUNDATI. �GI 1---p
(/ DATE' INSPECTOR
UNDERFLOOR
DATE Ar/J` INSPECTOR
FRAME
DATE INSPECTOR
LATH a PLASTER �— -�
DATE ,r 1 INSPECTOR
FINAL BLDG. e�a•a� —
DAT6 � INSPECTOR
FINAL ELEC. DC INSPECTOR -
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE - 'INSPECTOR