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2202 (2) NO. STREET 1 a APPLICATION FOR BUILDING PERMIT o ' ' 0 v �\ CITY OF CUPERTINO 3 MAR 1 X1.963 D° sanitary No. i , Date 196_ — Permit No. LL A plication is herebymadeifor a. o !{e/?F�C \ . ��rtrc ;�� a m aRuilding to be occupied only as �� 1 X a�z' 0 o in accordance with Plans, Specifications�n dd PlElan filed herewith ©B F 3 Intimated Value'of;Improvements, $ ��1C��J Pee$ z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and " * [ all other laws app irable to the construction, location, and use of buildings within the City of O. Cupertino wilj be omplied wit , a Owner —�-C AddressIdV! wiByAddressoP ate U _ PProveI1L� ; State ICCOS � Q (n4' BUILDING INSPF.CTOfl RECORD OF INSPECT N APPROVALS FOUNDATION ` DATE 1\ INSPrC'I'OR UNDERFLOOR DATE INSPECTOR" FRAME DATE: INSPECTOR LATH and PLASTER DATE INSPECTOR t FINAL BLDG. •". T --r — DATE INSPECTOR FINAL ELGC. DATE J INSPECTOR FINAL PLBG. DATE ( ' INSPECTOR I FINAL GAS DATA INSPECTOR 4 1