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2829 O !� 'V /-�I .-- LOT NO. 12 � < T Plan 1563 w APPLICAT O FOP BUILDING PERMIT r ° VAN 21 1964c1 ©F cupERTINo 3�j Q 4 o Sanitary *so. SV W Daten %4Permit No.o n16rnrInU o r Application is hereby made for a permit to erect a i in a 1 story,Type 5-1-J Building < W a ; to be occupied only as \ S inalp. family dwelling o `o in accordance with Plans, Specifications and Plot-Plan filed herewith. Estimated Value of Improvements, $ 1 000,00 Fee 60.00/ iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of o Cupertino will be complied with. 3 < Owner Inlan uire evelo ers Address 960 Camden-Campbell — N W2 1 Q n By Address <U phone. —2280 Approve q� State Licenseau me [NSVF.[TOa �7" RECORff.OF_ INS,P/ECTION -APPROVALS FOUNDATION DATE. _ INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME 3�— DATE. INSPECTOR L an v ER 17 DAT6 INSPECTOR FINAL BLDG. (� �j DATE i INSPECTOR FINAL ELEC. � J ATE INSPECTOR FINAL PLBG. ATE INSPECTOR FINAL GAS —' D TE. INSPECTOR