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247 (2) /L/Sit,,...r_ e /�—^'Z.�r/1Y _ I.OTNO' NO. STREET 'I 2 .15 s ' APPLICATION FOR BUILDING PERMIT CITY OF CUPERTINO Dat ` C,+�C— ^G� 195 ` Permit No. Appljatio _is hergbyAm'ade or'a�p 4Fni to Z/LC%/�l' ,l' a story;Type _ Building at C �� to be occupied only as �" Q in accordanOi i PIa�, s ft,9a oy"Plot-Pla filed herewith. %J V1 vt t r� ry a, Estimated Value of Improvements,$,�. Fee$ y . It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and -" all other laws plicable to the const ction, location, and use-o buildin within rhe Itrf y of .4 Cup �wi compl' with. �`' / ..1 v Owner Address By Address CQNTRACTO PENT _ / -� �� Phone /C �_ Approved!��> �� &Luc. IeL MiDING INSPECTOR SJ-�� RECORD OF INSPECTION APPROVALS FOUNDATION 1�2 cATE INSPECTOR INSPECTOR FRAME U R '.. INSPECTOR d LATH and PLASTER _ DATE SPECTOR FINAL BLDG. 1 DAT , INSPECTOR FINAL ELEC. AT IN PECTOR '•FINAL PLBG. a ' DATE INSPECTOR ' FINAL GAS DATE INSPECTOR CERTIFICATE " OF COMPLETION *'BUILDING INSPECTOR'S OFFICE . -. - • CITY 01' CUPERTINO-I A Date ........ r"'" 195-9-- , � _. .! -- �) . '. .. .. ....._--....-._...-.-, I ermit No. / C The Building Located at ....{:,!�.._✓ i._r.' ............ '... ....... ....... Owned by—...4 C2�(.�•`°✓✓ / 4Yf�ir'✓�/7 ti%Gl �e r (Completed) - ,.. '' ,'fi, ..!/ !-Iasl3een For Use As: ..._.rm.�t :/ � ...... . . („A._IL=d) 4 ...... f. ..__..... --......__ _.......- ..........._.................-......- ... ... _. ......................_................ ....... __....-- ......_........ .................... ............... _............. ........_..............................................._. ....._. .........._.......-.. ..........:................ ......................... ........ - Ht II;DR'C INSPECTOR 102 2/59.250. .. .. �_..� _...... ,....