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LOT NO.—
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O.wz APPLICA tN FOR BUILDING PERMIT
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LL 111JAN 3 1964 OF CUPERTINO
o ' Sanitary No.
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W 4 Late n 11"10196_ it No.
F o u
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o r pUjjp kation is hereby made for a p it t -
a
'z in a story,Type wilding
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to be occupied only as
0 o in accordance with Plans, Specifications an Ploot--POlan filed herewith.
FW Estimated Value of Improvements, Fee$ Q,5
oa
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
d O Cupertino wi be co plied with O
3 < AR ENTi9
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Owner ddress
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a By / Ad dre C
<U Phone SQ — Approve
/ State License 3 BNaING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION f
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME I� w - / ,
DATE INSPECTOR
LATH and PLASTER
DAT INSPECTOR
FINAL BLDG.
D E INSPECTOR
FINAL ELEC. I
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPECTOR