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LOT NO.
N NO. �`\RE'T1 �
W ` `APPLICATION; FOR' BU DING PERMIT
E � till
o CITY OP CUPERTINO
3 a l JUL 17 1963 c�yam; Sanitary No.
W ,� Dare//++ pp 196_ ermit No.
o NIpplicatlonn is herebpy�rrLUe fora perm' o
—riff a l story
– — – --Building--
a W
to be occupied only as
o o in accordance with Plans, Sp e cations and Plot-Plana filed herewith. o
t- 3 Estimated Value of Improvements, $_/7D Qom. Fez$ e"T
i J It is hereby agreed that the requirementsbf the Cupertino Building and Zoning Ordinances and
i all other laws appli .ble to the construction, location, and use of buildings within the City of
o Cuper 1 ill be co liey3 /� //
3 a _ .f/� .C/�I/T—
_ W Owne Addres
W a By � Address
a Phone l�/U /�T rid T A rove
PP
State License _ Ul G INSPF.CTO0.
'f t,
RECORD OF INSPECTI APPROVALS
FOUNDATION
DATEF CTOR
UNDERFLOOR 9—
DATE INSPECTOR
FRAME .10-,2S- 3
DATE INSPECTOR
LAT nd PLASTER Xd-�? "
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR '
FINAL PLBG.
DATE INSPECTOR
FINAL GAS -L
DATE. INSPECTOR