NO PERMIT NUMBER X79, 1
No. Street {a rP6vl+!
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Sonitory No.....
—
�f File No.110 %?' 9. /
Date ' 196
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Application is hereby made for a permit to
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a story, Type to be occupied only as
in accordance with Plot elan, Plans and Specification filed herewith,
Estimated Vale. o4 Improvements s-3
FEE$ ✓�+ ' Plan Check $
Owner — E,A.iI... ./a...� 4..sg.•�.ee�.F
Address +:—p� e�• � />w�!. � 1r?�° '
y
Contr. Address
Phone ��'� �✓ r .� State License
Approved
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RECORD OF INSPECTION APPROVALS
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BUILDING
DATE INSPECTOR MISC.
PAD FINAL
iI FOUNDATION 6 �
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UNDERFLOOR
FRAME
LATH & PLASTER
GRADING FINAL
FINAL BLDG.—
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