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2824103 I - n /1__W LOT NO. � Plan 15 3 APPLICATI J FOR BUILDING PERMIT '.JAN 21 196'4CI.71SOF CUPERTINOS'i Sanitary No,:03 t Date nrrVJgfa9 ERTi\ti�l964 Permit No. o? 1 r Y Application is hereby made for a permit to arent. a 1 story, Type to be occupied only as single family dwel l i nF in accordance with Plans, Specifications and Plot -Plan filed herewith. Building Estimated Value of Improvements, $ 19,000.00 Fee $ 60.00 — It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction, location, and use of buildings within the City of Cupertino will be complied with. Address960 Camden -Campbell Address Approv<50 e Bbfi.DING INSPECTOR RECORD OF INSPECTION APP VALS .24 FOUNDATION �1 D EINSPECTOR UNDERFLOOR `3 `?L�/ ,G(�^�M��,,/ DATE INSPECTOR FRAME (�J DATE G INSPECTOR LATH :,ad I V ATE INSPECTOR 17INAL BLDG. i FINAL ELEC. FINAL PLBG. FINAL GAS INSPECTOR INSPECTOR DATE I INSPECTOR DAT P. -. \ INSPECTOR