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863 (2) NO. NO. T ,ET, } 1 A L CATION FOR BUILDING PERMIT CITY OP CUPERTINO Date 195_ Permit No. Application is hereby made for a permit t I'. a -_L story,Type /L�. L.41ding at %if to be occupied only as—. -in accordance with Plans, Specifications and Plot-Plan filed herewith. C)o - - Estimated Value of Improvements, $ ©� p'� Pee$ It is hereby agreed that It ere u'rements of the Cupertino Building and Zoning Ordinances and C; all other ws applicable to t c struction, Ipcation, and use of buildings within the City of ',4 Cuperti I�id coplplied wi is Ow !�/Q/1SL�•( t�CCtI(eLte., Address Address CONTRACTOR, AGENT Phone—A Approved BUILDING INSPECTOR 1 RECORD OF INSPECTION APPROVALS FOUNDATION DATE INSPECTOR FRAME DATE INSPECTOR LATH and PLASTER DAT INSPECTOR FINAL BLDG. y�L�j�JLl�Q� Dn're INSPECTOR FINAL ELEC. DATE INSPECTOR FINAL PLBG. DATB INSPECTOR FINAL GAS DATE INSPECTOR