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604/ LOT NO. 70z J .. NO.,. I STREET P .PLIC�TION FOR BUILDING PERMIT /1 �I F CUPERTINO �DD�✓ Date _ 9'5— �� Permit No. 1�'O S� a ( 1 1 ` try,, .. Building at (TN to be occupied only as f in accordance with Plans, SP Ifications/and Plot -Plan filed herewith. �j' 06 Estimated Value of Im!provements, $_ d' a Fee $ 1/ v C It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other la s applicable to the construction, location, and use of buildings within the City of ,4 Cupertino 'I be complied with. v ' m Owner ` Address By � Address CONTRACTOR, AGENT , • Phone-eb o� C) S� - Approve BOILDING INSPECTOR RECORD OF INSPECTION APPROVALS -� FOUNDATION FRAME LATH and PLASTER FINAL BLDG. FINAL ELEC. FINAL PLBG. a I FINAL GAS INSPECTOR INSPECTOR •t WRPRCTOR' INSPECTOR INSPECTOR INSPECTOR INSPECTOR