2696 LOT NO.
NO. STREE
t #AZ &4WT�QN FOR BUILDING PERMI
r ° PC1' OF CUPERTINO
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OV I n +nC� - Sanitan• No..
1 4 Date L 'JV 196_ Permit No.
~�. °W caois OUf'Foi a� ermit toAL �
z in a story,Type — Building
aw
W to be occupied only as
0 o in accordance with Plans, Specifications and ed herewith. d
> ; Estimated Value of Improvements, $ /O eJr�O .$O
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will bS complied with.
3a i
m Owner Address
W z
a B Address
J
Phonr APP rove
/J OJ J
n, State License Nsvecroa
Y ;.
RECORD/OF INSPECTION ,.APPROVALS
FOUNDATION / ��. I
DATE INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
ATE/ �1' INSPECTOR
FINAL BLDG. �-
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE . INSPECTOR
FINAL GA
DATE, INSPECTOR
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