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2803-C.' I -'LiC i.OT NO. s / T cr A� L TI ; sj FO UILDING PERMIT �` OF CUPERTINO o ! Sanitary No. a Q fa = LL Date, �� RT , r 196 3 �' Permit�No. Oy 0 LL La O z to aW W 2 a~ J OO > a �3 oa zJ J Z J O 3Q N w z WW 'r (L 0 f a0 y> Application is hereby made for a a % story, Type Building to be occupied only as in accordance with Plan Specifications and Plot -Plan filed herewith. � BCl C C Estimated Value of Improvements, $ 700oo. e Fee $ ' It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and all other laws applicable to the construction. locatiop, and use of buildings within e City of Cupertino I b omp ' d wit�7) , Own Address /O Bye Address Phon 6l0 Approved State Licens /� BUILDI G INSPECTOR RECORD OF INSP'ECTISN APPROVALS FOUNDATION DATE, SPECTOR UNDERFLOOR /- DATE NSPECTOR FRAME DATE SPECTOR OLATand PLASTER ^":?6 DATE INSPECTOR FINAL BLDG. G - 1 (--4 j ---, DATE �_ INSPECTOR FINAL ELEC. FINAL PLBG. FINAL GAS INSPECTOR DATE / IVSPECTOR INS,P-F,CTOR