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438 (4) NO. STRE y'�YP.PLIC ON FOR BUILDING PERMIT �"a��c4 CATS OF CUPERTINO Dat til411 � itermit No. -171,3Y1_ Application is hereby 7arde for a permit to i a -r% ''"rstory,IlpEnT /1 t� Building 1• at % ��tIL� to be occupied only as �9 in accordance with Plans, Specifications and Plot-Plan filed herewith. u Estimated Value of Improvements,$ 0ZV O©0 Fee$ v It is herebyagreedthat the requirements of the Cupertino Building and Zoning Ordinances and t all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. S'TAtJD�Bo dvL o� C;gt�F• Su _ —n—Ownet �� o Address 24A FPAr/USLU Y Address CONTRACTOR, AGENT PhoneSU"�'/-7�OQ Approved BUILDING INSPECTOR b . RECORD OF INSPECTION APPROVALS FOUNDATION DA R / INSPECTOR PEA MCc��'T/G CLQ ,� l' 7 tel/• DATE / I INSPECTOR LATH and PLASTER �j ATP INSPECTOR FINAL BLDG. Dl( //7 INSPECTOR FINAL ELEC. v DA R INSPECTOR FINAL PLBG. /� U ATB / INSPECTOR FINAL GAS DATE INSPECTOR - ' CERTIFICATE OF . CO�4 LETI'ON BUILDING INSPECTOR'S-OFF CE CITY OF CUPETINOI - ��*2� It I Date _�. � ._..................... 19t-!.� - Building Permit No. The Building Located.at ..�^�i,t�Q.`dy[�....(�.e .... . .. �•.✓.6.f'"' ........ sy Owned by .....-\:.f."f.�'%:':�r.;' rf.,.t ...tl.....L.t Y................. (Completed) Has Been (�kere For Use As: _""..' ..4.... ....`...'.....,.-�'f.�G/, BUILDING INSPECTOR 102 7/59-500 Lt`