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NO.�41 rSiR_f.T
w a �APPLICATIEON FOR BUILDING PERMIT
oo I nICITY Or CUPERTINO
< /OCT 11 1967 �yW F/ Sanitary No.
5 'V/
_ o r�,�V [ (+I [� 196_ ermit No.
u W lr IAp�titatickifj Pdrdli 1 de for a permit to
0 6
i ro a_z_ story,Ty Building
aW M
to be occupied only aIle/4s
0 o in accordance with Plans, Specifications and Plot-� filed herewith.
3 Estimated Value of Improvements,$ Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d 0 Cuper comph with. / O 0?/ �
_ m Own -44,r
W a By a� Address 1 u
ox
0 Phon
_u Approve
U State LleenS T DING INSPECTOR
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE INSPFCTOR