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s1TRAPPLICA'T FOR BUILUw ( OF CUPERTI OJU� 27 z1 i
Date
CITXcaitlin//���� is6amb}un d�FBn� permitv1j 9W �—
I a C>N story,Tp�` !vr
&' 00 rl�l rlSCrj" Building
at 1 b O I G �/.�j_c f cti F ; -. t
to be occupied only as—
in
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-� in accordance with Plans, Specifications and Plot-Plan filed herewith.
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Estimated Value of Improvements, $ 0 Fee$ 3 �
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� It is hereby agreed that the requgeqents of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the ns ction, location, and use of buildings within the City of
Cupertino will be complied with.
Ow er P 014 E-- A ✓ 2Z A Address S ✓
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C NTR OR, AGEonel�00 Approve
INSPECT
RECORD OF ,INSPECTION APPROVALS
FOUNDATION 1 �j G�
INSPECTOR
FRAME
WSPECTOR
LATH and PLASTER
ATf: INSPECTOR
FINAL BLDG. e -6
_ DATG WSPf:CTOiI
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FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
e� ZLAIE , 'INSPECTOR