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>: o ,IF�g t 196 OUPERTINO
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0-1 Sanitary No.
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i LL Date "tl 196_ Permit No.
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o 0 C}11pylica n is hereby made for a permit to
a
i to a story, T pe Building
a w
to be occupied only
0 o in accordance with Plans, Specificati s and Plot-PlanMlkd herewith. eU
i- 3 Estimated Value of Improvements, S�w rG--.-• Fee $
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatiop, and use of buildings within the City of
J o Cupertino will b C4y�Glied
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_ y OwAddress
rc a By L t f= itxa( 3.4/4LUNl/NUA/I eAddres
a 0Phon q /y� Approved
State Licensee /U -2- ' BUILDING INSPECTOR
RECORD OF INSPECTIONPPR LS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
TE INSPECTOR
FINAL BLDG. 17 (J
T6 IL INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS lmi
DATE INSPECTOR