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OT NO.
STREET
W z NOAPPLICATION FOR BUILDING PERMIT
r ° CITY OF CUPERTINO
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0 Q Sanitary NO.
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F o Date 'ey , 1967 � � — L
Permit No.. 9 2 O / 3
°o Application is hereby made for a permit to
atn a story,Type eZ Building
w
r to be occupied only as
a
0 o in accordance with Plans, Specifications and Plot-Plan file herewith. � ./
Estimated Value of Improvements, S 3, 960. a Fee a '714 954A.
T
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with. rCSS""1e
_ w Owner
W
z
1, w By .a,.e� !
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_O Phon Appro
}� State Licens _ Irvc trvsvec'roa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATF. - INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATF. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATF. INSPECTOR