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166 0 / 0 SS-( L rvaI= 2 q LOT NO. 5 En ® APPLDCA 1 [Jt' FOR BUMDING PERMIT MAY 5 IDV 1 Or CUPERTINO Datc /v �❑] pp'�{{ ��((�� 11195_ Permit No. C licot Fn ifk0UFFRi11IPNr/x Permit to_ E—2 F.0�_ a ©.r'Jf; storRTYPe o5 Building at I OJ�I qcl � A 7' to he occupied only as in accordance with Plans t 4n�land Plot-Plan filed herewith. O y-7 Estimated Value of Im ve ntYs;'$ 000°O Cee$ uIt is hemby agred that t -rquirements of the Cupertino Building and Zoning Ordinances and uU all other laws applicable to the cons union, location, and use of buildings within the City of llja Cupertino will be complied with 3 Owner 2ldress_11 S �j 45' AddressuI CONTRACTOR, AGENT y_'i'honeAPProv "BUILDINGINSP T R RECORD_ OF INSPECTION APPROVALS FOUNDATION DATE INSPECTOR FRAME DATE INSPECTOR LATH and PLASTER DATE INSPECTOR FINAL BLDG. 1 DATE INSPECTOR FINAL ELEC. 1 DATE INSPECTOR FINAL PLBG. 1 DATE INSPECTOR FINAL GAS DAT INSPECTOR . O I, the crGjgneci do hereby certify. th t. I am the owner and occupant of tie single family dwelling at O I M rA tt�-q L'-')c< for which i am making application to do QA"C ni'fZRZ work as a home owner. I also certify that I will net hire any non licensed contractor, but will do this work r,ysclf. TELEPHO!dE 'ItT 7SR ST ?A li?E