51161oar, y/&e.f OT NO.
NO. STREET
wZ APPLICATION 'FOR BUILDING PERMIT
TX
O CITY OF CUPERTINO �
RLL SOL S!
O � Sa❑I[a [{' A`O.
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W LL Date 196_ - C Fermit No. S'II
� 0 a o amade i6jereby for a permit to T
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z N st-� -b- -,&v
Building
a 'r-yLO�
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j4 to be occbpie Jonly as "7 %
0 0 �Irr accordance w th,Plhns, Specifications and Plot n filed herewith.
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EstimSred' Value of Impro erne ts, ca22 Fez E b 9
i J it is hereby': s/eed-jthat the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws apAgible to the construction, locations, and use of buildings within the City of
o Cupertino will be complia�f� ith
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m Owner,L V- -70AIe V Ad ss.Za-3S I%'rM rf
W a ByA&RRO%/ C- ��i/'/ Address t
O F �y
40
Phoru-96,7 7 �.i i ---AM Aoorove
c _ State License/.50 _ Bib}LUING INSPECTOR r
RECORD OF INSPECTION APPROVALS
FOUNDATION I
DATE. INSPECTOR
UNDERFLOOR
DAIE INSPECTOR
FRAME
LATH and PLASTER
FINAL BLDG.
FINAL ELEC.
FINAL PLBG.
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR