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w OIft BUILDING PERMIT
O C F CUPERTINOo < PR 16 1964 Sanitary No.
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Date —I^I�6— Permit No. R�
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o w A plication is hereby ma a for i permit to
a
zz uI a story,Type � —1'—� Building
a w _
ato be occupied only as .�. f • /e-
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
r ; Estimated Value of Improvements,$...2t,9 CeDO-on Fee$ 63. On
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, location, and use of buildings within the City of
O Cupettincri I be compli d wi
3Q
_ w Owner � Address
w z
By Address
'coU Ph .. o7�P'OS37 Approve
State Licens OS oZ 7S BUILDING INSPECTOR
,
��/ECORD OF INSPECTION APPROYALS '
OU ATION
DAL/ �JINSPECTOR
UNDERFLOOR �/TF.E /CS'�L
DATE SPECTOR
FRAME
DATE. NSPECTOR
LAT ,nd PLASTER .. I I
DATE INSPECTOR
FINAL BLDG.
DATE `I 1 INSPECTOR
FIN
�/-
/ DATE INSPECTOR
FINAL PLBG.
ATE INSPECTOR
FINAL GAS '
DAT7 _ INSPECTOR