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LOT No. �/ • • _..••
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STREET
APPLICATION FOR BUILDING PERMIT
•'fir A � FCITY Or CUPERTINO �%J ,
C(� ut D 195— Permit No.
I ®Application is hereby m ppp e for a permit to Ei}2n�
{AUG 25s�d5Qype 13uildin
s
at
Oi
t� to Be occupied only as �.r r(/J:i7z..;,
ly op
ii
.in accordance with Pla s, Specifications and Plo - Ian filed herewith.
Estimated Value of Improvements, $j ��••- Pee $ le�2•
b a It is herereed that there uirements of the Cu ertino Buildin
Cj- Y• R 9 p g and Zoning Ordinances Cit and
,all other laws applicable to the construction, location, and use of buildings within the City of
„•t Cupertino will be complied twtlt. – ..
Owner t/Y�C �1 Q r ^ Address�10 ice, h 'e `;( /
13y _ ® Address � �/�J�•��C4�iAe
■ • j v! BUILDING INSPECTOR
RECORD OF INSPECTION. APPROVALS.:
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FOUNDATION
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DAS6 INSPECTOR
FRAME p
DATE INSPECTOR
-_LATH and*PLASTER"
Y n�� DATE - _ INSPECTOR
FINAL WX9
DA-- -c INSPECTOR
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FINAL PLBGi
••'9 ' �'DATB +INSPECTOR, 1'
FINAL GAS'r
'•DATE INSPECTOR