219 ?(JAIN
N°w j N FOR BUILDING P MIT
° TY OF CUPERTINO
2 7 1965 sanitary No.
/D� 1t (n�[C ((�����LLO—kZp� T���n 196 Permit No. =/9
0o CIP tioCUR tr&63H9ora mit�o10
a
'z m a story,T Building
a W
a ; to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Oan led herewit .
Estimated Value of Improvements, $� Fee$
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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, location, and use of buildings within the City of
2 o Cupertino will be (plied ith.
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m Owner �JLo��t�s-� Address 2 !.e
W z
W y Address
a " Approve
State License NG INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR