1649NO. 5TL`IRTj .I FOR" BUILDING PERMIT
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OF CLIPIiRTINO
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Date `�6D 95// >� Permit No.—_�_
Application is hereby made for a permit to%�`� -
a—�I�Stoyp1lr7�/ Building
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to be occupied only as z0z
in accordance with Plans, Specifications and Plot-Plan filed herewith. p
Estimated Value of Improv ements Fee $ z 19
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c It is hereby agreed that the requirements of, the, Cupertino Building'and Zoning Ordinances and
$ all other laws applicable 'to the.constiuction, location,' and use of buildings within the City of
. ;.j Cupertecompliedwith.4OwAddrBy- Address
PhonApproved�t tBUILDING INSPRCTO
pr O OF SPE&IO APPROVALS
FOUNDATION
DATR p INSPECTOR
FRAME
DATE INSPECTOR
LATH•and PLASTER
.Yr.' DATE
DATE
F •• / / (1 t t!
FINAL CLEC.
DATE
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FINAL PLBG.
DATR
FINAL GAS
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.I;.n.. •INSPECTOR -1'
INSPECTOR •a, -
� CERTIFICATE�.OF' C�O,MPLET,ION.
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BUILDING INSPECTOR'§'�OFFICE >:
CITY F CUPERTINO'
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<. Date .............. ...-.......
..........:.......... 19."......-;,'_`�uilditig Permit No�..�:.
The Building Located pC "1---ta 1::�-,..�-��. .. l..�S k!' Sl
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Owned by . •....�------
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' (Completeda -I
Has .Been For Use As -� -
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BUILDING INSPE(
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