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2879 (2) NO. STREET - w APPLICATION' FORRBUIUDING PERMIT ° � �� ��UCITY OF CUPF.RTINO �ja� ° a Sanitary' Nu. 3-7 . f; 5U (B 191961 t. Dare_ 196_ PermNo. ~ 061L�]Ti1i LL r Application is hereby made for a permit to a m a/ T story,Type �, �' '' Building o be occupied only as o o in accordance.with Plans, Specificatiotrs agSl ,Ian fi_Igd herewith. 3 .Estimated Value of Improvements, V�d 00 VS,' Fee$ C��) �n z J It is hereby agreed that the requirennents,of the Cupertino Building and Zoning Ordinances and * z all other laws applicable to)he construction, locatiop, and use of buildings witbm a of I, 0 Cuperon ill be pled 'th. Ste/ �/ 3 P. v _ m :Owt" Address - e w z B . � L�Gu �...,.. . � a _ Address 0 Y °U � _ 78F A PP rove �{.P a °` Phon'e t State License /s�o^ZZ22 BUILDING INSYF.c'0' RECORD OF INSPEC'TIO'N APPROVALS; I : ti ' FOUNDATION ~ ' DATE+ INSPECTOR', {R ..,'UNDERFLOOR 14 Dnn . wsacctox INSPEC CO r' ��. "'• "y� a t LATH and'YIt.`ASTER � �Yvi t .(... DATL'+ ` INS PvcTOR aflNAL BLDG.e - ++ • i.: - iA 1"` - (J DAT6 r 1 '• 1 INSPECTOR 4 • - p ,a DATE.. • INSPECTOR f „•+ + INAL PLBG DATE INSPECTOR ` CINAL GAS x Mme,. ` . ci ECTc>R 4 1d nJr '.i y t �.�� •A � . i r�d�^'� ,t •. r, a