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OCTOOT 4 18F9
LOT
BUILDIWG PERMIT
y „ Permit No.
OUR
A' story, Type - Fhiilding
at ..�
to be.occtipied`only as
in accordance with Plans Spenfieltvonsagd Plot.P�la�filed herewith ��
Estimated Value of Improvements4
,Q .. wy •, •tee a
1 ''1P...
..❑ - is `hereby agreed that the requirements of the Cupertino'Buildirg and Zoning -Ordinances and
-$ .all -'other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will b complied with.
�^ Owner_ `�� Address L%
By Address 1
CONTRACTOR, AGENT,
/0,. Phone Approve
BUILDING INSPECTOR ,
RECORD OF INSPECTION APPROVALS
FOUNDATION
i
DATE
li INSPECTOR
l
FRAME
K
DATE
INSPECTOR
LATH and PLASTER
DATE
INSPECTOR
FINAL BLDG.
DATE
INSPECT
FINAL ELEC.
DATE
INSPECTOR �•k
FINAL PLBG.
1
DATE
INSPECTOR
FINAL GAS
DATE INSPECTOR
a I
I,, the undersign ddb hereby certify`that I am
the owner and o cupan-V of the single fami dwelling at
-4Z�$Z<�
for ,whit ' I. am, making "
application to do ork as a. homeowner: "
I also certify that I will not hire any non licensed ,
or contractor, but will do this work, myself:.,
C / A�
T11*EF'HONE NMJJBISIG''ATUfiEb �, ,
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