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107 (2) tY 3 86� l� Lor No. � (� NO. 4 !E 21 r� 4 ICATION FOR BUILDING PERMIT CITY OF CUPERTINO Date 195_ - fJPermit No. lApplication is hereby made fora permit to �e a_�story,Type 45- Building at // q to be occupied only as in accordance with Plans, Specifications Plot-Plan filed herewith. 'v Estimated Value of Improvements,$ Fee$ X 2— u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all othe laws apQ� to the construc tion,, oca[ion, and use��ildi withieCity� Cupertier la I b plied wi .0 Owner AddressBYAddress � � /f SCO AC R -,/. 1 C Phone/V Approved�f BUILDING INSPECTOR ",j, A RECORD OF INSPECTION APPROVALS / a FOUNDATION 31919 ATE INSPECTOR FRAME 3 TG INSPECTOR LATH and PLASTER ATE INSPECTOR FINAL BLDG. 9 TE INSPECTOR FINAL ELEC. D TB Q INSPECTOR FINAL PLBG, J O E INSPECTOR FINAL GAS � - ,DATA / INSPECTOR � l CERTIFICATE OF GOMPL i-ON BUILDING INSPECT'OR'S OFFICE-k' . , CITY OF CUPERTINO l' Date ..�./r.-fvlr—... /..t.••...____•..•, 195.. Building Permit.No. • ,! y, 1 The Building Located at �.�� // Owned by ..... ./X�'I (Completed) �f �f Has Been P ) Por Use As: .........�!!:.•,. ,/•i�/..+'+' ........................:..............................................fl.•.___........... .........0.......................... ...........................................................: .................................................:......:............................. .. 5t••e 1. r!b+�d. .. ...........................:............................ ............................................... • .. • . ..... u ` .�!•r� 'BUILDING INSI'ECfOIt 102 2/59.250