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2396�- - _ h a NO. STREET ET f Irl _s�AF,P,LICATI0N F.� C BUILDING PERMIT ,n r ° 11/ gg pCITY OTtiC PF.RTINO '�inimry No. �9 3� = 4 Date 196_ :?Si, Permit'No. �9� ' o r (��Application'is he;eby made for a rmit to a �r i in a story,T �3 Building a w W to be occupied only as a � - 0 o in accordance with Plans, Specific ns nd Plot-Plan filed herewith.`, C1. Estimated Value of Improvements,S ?FJC9-,�7�CJ -"�� Fee_S' z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and z all other laws applicable to the construction,- Ibcation, and use of bud mgs'within he C of X10 Cupertin ill be csnpli d wrtli. �/, /�A�jfb�p 3 < Owners `IJ dress ?l/.i�ilNnc Tn s AJC- Q'a By ,, 1= L� /-�','.,r.�:rs.�/ �: •nq'Address -�. 4. a.0 Phone-'31 �/J7�fJ�' p ,'.Approved ,� . License. OF_LZ 14 ,rr BUILDING INSPECTOR State Licens 44 RECORD OF INSPECTION- APPROVALS M ;FOUNDATION _� 'DATE I INSPECTOR �• UNDERFLOOR �- IA'ELIA. INSPECTOR FRAME DATE INSPECTOR LATH and PLASTER DATR TOR FINAL BLDG. , DATE � ) l INSPECTOR DATE G INSPECTOR FINAL PLBG. J''aa DATE 'INSPECTOR FINAL GAS DATE r INCPrCTOR i