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103 (2) r/ LOT NO, �'aa No. APPLICATION FOR—BUIL DIN PERMIT 2154 CITY OF CUPERTINO' Date_ 195_ Permit No./o 3 Application is hereby made for a permit to a_�story,Type Building 1 at to be occupied only as \ in accordance with Plans, ecifications and Plot-Plan filed herewith. Estimated Value of Improvements, $/r� C� Fee$ '1 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and .-1 all other laws applicable to the construction, location, and use of.buildings within the City of Cupertino will be co plied witht Ii Owner• ssCBy Address C NTR R, q Phone Approved ` - B . ING INSPECTOR �j/ RECORD bF INSPECT I N PPROVALS V FOUNDATION i�;A J ATE INSPECTOR FRAME DAT .INSPECTOR LATH and PLASTER _ TR INSPF'cTOR f FINAL BLDG. ATE INSPECTOR FINAL ELEC. �� s TR INSPECTOR FINAL PLBG. ATR INSPECTOR FINAL GAS ATE INSPECTOR CERTIFBU-IING ATE OF COMPLETION ? INSPECTOR'S OFFICE CITY OF CUPERTINO Date .......��.I. ....................... ....... ............................. 195. Building Permit No. .. ....... The Building Located at .��34?.c •. ilc: �1^a.:!J...� 5%.�u:ysir....-.. Owned by .../....::::�� :%!r..... :::srff.•G ./h'!^ ..r....:..-ci?.:i..:....:......... ......... Has Been (Completed) . / I For Use As: ..... :. / / 4 .. .................................................................................................................................................. ................................................................................. _..,....................................:.................... cam^ L � y5'"........................... ++ .BUILDING INSPF.C'I'OR , 102 2/59-250