405 LOT NO.
NO. SIRE T
W s�APPLICAT N FOR BUILDING PERMIT
° F j CIT7 OF CUPF.RTINO
o II�JJ '� Sanitary No.
s� I�j0 ,- LI DS
W „ Uaie -, 196_ ermit No.
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LL W App/lica(t�io[n is hereby made for a permit to
im ] Cl11 O strltr"� RTI�IJ�
oe ' ' y uilding
< W
to be occupied only
0 o in accordance with Plans pecificati an PIot;Pjan filed herewith. 40
� ; Estimated Value of Improvements, DO �� Fee 3
iJ 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
O Cupertino ill be complied with. p-
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m Owne X12 Address t.s.✓ r�rOSE
WZ
W a By Address
< 0 Phon 24' 4I- � Approved
ly State License BUILDING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION I
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