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2365I NO. STREET t'd APPLICATION } ' > WILDING PERMIT .CITY Or ERTINO 3 Sanitary No.. J76 Date �_' Z 196 Application is hereby made for a permit a story, Type to be occupied only as Permit No. Building in accordance with Plans, Specifications and and Plot-Pla©filed herewith.., Estimated Value of Improvements, S :!L/ 0-9.- Pee $ `3 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 owwill be complied with. �+ ownef sayAS QAddress�O,165- S7. BY/ Address O lJ�vo e. ST, Ss% Pho4F —, Approve State License /4 % 9� _ �uuwc' 1NSPF.Ct'OR cp-�v-$qa3- RECORD O�F� II FOUNDATION J,q�— UNDERFLOOR FRAME LAT and PLASTER FINAL BLDG. WFINAL FINAL ELEC. PLBG. FINAL GAS DATE. - /bJ DA 11'. DATE, DATE Jl IOM. APPROVALS �., INSPECT OR INSPECTOR INSPECTOR I i 6 1A INSPECTOR n LTR I� INSPECTOR