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2743 W x/069 IiPt'LI ATIGN� F BUILDING ERMIT OCT n 1 1963 C, cuprxrrNo Jam. 3a Saniiary No.� U ro Date n7 1` n ••� _—`x196_ Permit No. rare I ��, 4 � Application is hereby made for a permit to oQ am astory,Type — Building ? to be occupied only as 0 o in accordance with Plans, Specificationsandd Plot-PI a f'g herewith. 00 3 Estimated Value of Improvements, $440660 Fee$ Ze, iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, location, and use of buildings within the City of j o Cupertino will be complied with. 3a - e, Owners, a'aNIN >n F _\ Address 221 f� By �.�Ata die IJt Address- 0 ddress _ a 0Plume �'�'J - WTI Approve.- St,te pproveStatC Lice pti N INSV4-0'-e' �C]C'-n'P .,C/ ,^Jf�(„'1'/.IV/,fVB-rM'1 `-�'C�( � •\ .y.a_ '(L Cu �� RECORD OF INSPECTION APPROVALS FOUNDATION DATE INSPECTOR INSPECTOR UNDERFLOOR DALE INSPECTOR FRAME DATE INSPFCTOR t(LAT %nd PLASTER — — DATE INSPECTOR FINAL BLDG. 'r DATE INSPECTOR FINAL ELEC. D INSPECTOR FINAL PLBG. 1 (1 1 DATE INSPECTOR \` 'A FINAL GAS _ CERTIFICATE OF COMPLETION BUILDING INSPECTOR'S OFFICE • CITY OF CUPERTINO Date .........::..h ........................... 19-at N .....t...I Building Permit ................... ...... The Building Located at ........�;...... .•........ Owned by ........... ........ ............ ....t..-A............. ...... G�meted Has Been- ( pl ) For Use As: ...... (Altered) .............................................!........................... ................................................................................................................................................. ......................................................................................12,..4................................................. ............................................................... .......... . ........ .. .. .. .. ................ .................... .............................. . 7-� ............ 102 1/63.500 BUILDING-IMPECTOR 00110FIEN1�0