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2584 206M I -Rodrigues Avenue 92 ' Nb i4 APPL! ATION FOR BUILDING PERMIT a� � 1 JUL 24 1963 �1�' CITY_ OF CUPF.RTINO 3 aSanitary No. 4:e!K6/ U TY I�u p,t0r_ % —�Jlll 7 3 17 196 Permit No. 5- r, t n Application is hereby made for a permit to erect oa Z N a 1 story,Type Frame Building to be occupied only as single family residence 0 o in accordance with Plans, Specifications and Plot-Plan filed herewith. �, 3 Estimated Value of Improvements, $ I/QQe) ��, Fee$ 54.00 z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * z all other laws applicable to the construction, location, and use of buildings within the City of d o Cupertino will be complied with. 3N Owne- nd a vl rs . Irljdress960 Camden Ay.Camnbel. u s By- n e e AT _ Add ress9 6 am . mb a phone 379-2280 184784 Prove e iNc tNsvrcioag AP Sse RECORD Of INSPECTION APPROVALS FOUNDATION —/9 DATEsPE Ci'Oa UNDERFLOOR DATE INSPECTOR FRAME ZO — - .3 DATE INSPFCTOR LATH and PLASTER — DATEE p INSPECTOR FINAL BLDG. DATE INSPECTOR FINAL ELEC. INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE INSPECTOR