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112 LOT NO. 3 NO. - tSTRT154TION FOR BUILDING PERMIT CITY OF CUPERTINO Date_ , 195_ B Permit No. / • 1 • _ : Application is hereby made for a permit to a story,Type -'51 Building at to be occupied only as in accordance with Plans, Sfiecifications and Plot-Plan filed herewith. a, Estimated Value of Improvements,-$'�2 in w Pee$ v It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws a cable to a construction location, and us ulldin within the City of '•'1 Cuper[i 111 gal tv'�p _ y �-�jb Owner �� Address By IF. Address f+°NTR OR, A NT Phone �/�- •`G- Approved BUILDING INSPECTOR �r�` RECORD- OF INSPECTION APPR, VA�LS Y^ FOUNDATIONr(VE' INSPECTOR FRAME QR Nsrcr.Toa LATH and PLASTER -- --(�' Ta INSI'IiC'!OR FINAL BLDG. INSPf:CTOR FINAL ELEC. D-/ 9/ INSPECTORS` FINAL PLBG. EAATTE {p� INSPECTOR FINAL GAS x��' /DATE � / / INSPECTOR CERTIFICATE OF CO1ION BUILDING INSPECTOR'S OITI CITY OF CUPERTINO Date ..f......4. ...... ............. 195..`f.... :,Building Permit No. .. ::-.' ---..-. The,Building Located at ......•"/1. .�/t;+`,.r�. ?'.': ;f «.JI . . ' �...-. _ ......... Owned by .... / .� '. '.. .11 .i; Y Has Been (Completed) For Use As: ..:...t: t.;tf... :-.'.if.'f�': ....._................._...:... (.Altered') .. / • u ,� n BUILDING INSPECTOR 102 2/59-250 - ,1