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1404 (2) • '�' �. .LOT NO. A NO. STRE BT`y," t APPUGAg10N FOR BUILDING .PERMIT 4j4.41,0jCITY OF CUPERTINO Date_ 195_ Permit No. O Application is hereby made fora r(r�it to a / story,Type — _ I at to be occupied only as Q I KID, in accordance with Plans, Specifications and Plot-Plan filed herewith. yy e) p Estimated Value of Improvements,$20—e—) .—U Fee$ O� I y It is hereby agreedd 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 a Cupertino will be complie .with. n Owne Address w By— Address _ �/� CONTRACTOR, AG'NT eji Phon Approv BUILDING INSP TO RECORD OF INSPECT<•: „PPROVALS FOUNDATION DATE INSPECTOR' -' FRAME, DATE INSPECTOR LATH and PLASTER DATE INSPECTOR FINAL BLDG. DATE INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE /INSPECTOR