141 (2) o sra.t: [
w A 'IES 1 FOR BUILDING PERMIT
MAY 4 ' 1964 TY Or CUPERTINO
0 < Sanitaiv No.
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_ `o It 1n 196 F rm-it�pN_o.
L � pplicatlon Is ere y �fbf a permit t / .�C..crQ
<tn a_�st rr��,T.pe ' / .G�• ' Building
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to be occupied only as
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00° in accordance with Plans, Specificatio's and of-g.6 filed herewith. 11-IC-111-IC-1
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F 3 Estimated Value of Improvements, $ Lt t^JO_ Fee$
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1 J It is hereby grgjed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other law ;plicable to the construction, location, and use of buildings within the City of; 1�
o Cupertino wi bbee com lie ith. •}� ,yyyr
3 N Owne <=��� �� AddressltlrCLCrru v �ed�
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a re
a By Address'+L�/
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A V phone �T G�- ��70 7
y �/ ��J y Approve _
State License 124 —4Z— BUII.nING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE INSPECTOR
UNDERFLOOR
DA 11'. INSPECTOR
FRAME
*11AII: INSPECTOR
LATH and PLASTER
INSPECTOR
FINAL BLDG. INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
i DATE wsrrr.Toa
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