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473 LOT NO._� .. NO. - STAEET A2P11 ION FOR BUILDING PERMIT 1 �:� _tCI OF CUPERTINO Dat c 25_ Permit No. Ap hcation is hereby made forr�mit to a story,.T,ype— Building at to be occupied only as in accordance with Pla , SpecificationsJannd Plot-Plan filed herewith. / l v Estimated Value of Improvements,$_! (O,/ .!?e Fee$ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and,use of buildings within the City of'. Cupertino will he complied with. _ i Own r. Address , WNG B' "" JAddress CONTRAC OR, AGENTPhone G-yL�'— %O✓` 7ApprovJBNSPECTOR RECORD OF INSPECTION APPROVALS-'- FOUNDATION PPROVALSFOUNDATION D TE INSPECTOR FRAME Dn E INSPECTOR LATH and PLASTER dol 9 DATE INSPECTOR FINAL BLDG. h q DATE INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. 2 � DA H INSPECTOR FINAL GAS DATE INSPECTOR CERTIFICATE OF C PLETIOIJ BUILDING INSPECTORS " CE CITY OF CUPER N Date ....,.:_£ 1 ......................... jq '. .. Building Permit No. The Building Located at ............................ ...................................................... Owned by ... j- ..4 .!........................................................................ (Completed) Has BeenFor Use As: ........ ............................................................................................................................................. ...........................***-------------*'*'*.............. .............*****....... .............................................................................................. , , �*A.....*—.................... Ar - ........... y. . .....*"*****.............. BUILDING INSPFCrOR 102 .7/59-500