2452 C. os'6s r
T NO. .
NO. STREET _
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5 ® N .FOR BUILDING PERMIT
OF CUPERTINO
3 u L y J�ps� Sanitary No..�
i o Date, i +7 196_ Perrry't No. �
o � Cj ffpYItcviFn i�h t€B �a�3���b41a permit to
a 3+ /rte
zz m a_�story,Type SJ Building
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ato be occupied only as ✓ '
0 o in accordance with Plans, Specificati and Plot-Plan file with.
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� 3 Estimated Value of Improvements, $ - Fee$ o(�
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws Iicable o t onstructionjocation, and use of buildings within the City of
� O Cupertino wil`YF(�/e(/ari a
3 m Ownef � Address
w z
u By f. `>1... .-r.>n Address
a U Phone 41 A -i.2?/ Approved
,� State Licens -/ /69 a BUILDING INSPECTOR
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/ S3 RD OF INSPECTION APPROVALS
FO DATION `e
DATE. INSPECTOR V
NDERFLOOR a
DATE INSPECTOR A
RAME — ^�1
DATE _ INSPECTOR `•`
ATH nd PLASTER �� f
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DATE INSPECTOR
'• FINAL BLDG. '- � '' l�� L�il•l''�� \1
DATE r INSPECTOR
(J�FINAL ELEC.
DATE/. .` ' INSPECTOR
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niNAL
NAL PLBG.
DATE INSPECTOR
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