3986 �z o goo - �
NO. STREET I 'I
z ` PRL ON FOR BUILDING PERMIT
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x ° ® TY OF�CUPFRTINO �9cp6
0 ' �`� Sanitary No. /
ILL ll 1 F B 13 196 ��196— Permit No.
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o Application is hereb de for a permit t
` CITY OF ���N � c.'
Z N a ry, Building
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to be occupied only
0 o in accordance with Plans, Specifica o ns and Plot-Plan filed herewith.
r ; F-stimated Value of Improvements,$K� 6/9n �70 Fee$ 164� 00
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the co truction, location, and use of buildings within the City of
2 o Cupertino gill be complied wit �9
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IL. By W. _ Address
Approve
State License v �" B LDING INSPECTOR
401
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FO TNDATION
DATE INSPECTOR
UNDERFLOOR
'2-UDA'IE� INSPECTOR
-` DATE. INSPECTOR
1 VAM
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�I DATE
/^� / / INSPECTOR
AL ELEC. `-f •`,IJI•
TR INSPECTOR
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OATE INSPECTOR
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D I. / INSPECTOR
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