3065 (2) iia TY Q LOT NO. (� l
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W = APPLICAT Op� R BUILDING PERMIT3� g
a: O CUPFRTINO - �0 �Al
FE8 Y l9S3. `
Sanitary Nn,
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`o Data p}p<I96 n l" 'Permit No.— /Q
a W CITY
Application is hereby made�'fYYorr d ermit to`--
Or
PP. Y P
i to a story,Type a-- Q Building
aw
W
x to be occupied only as
%0 o in.accordance with Plans, Specifications d Plot-Plan fi d herewith. o _
Sq�,Q Estimated Value of Itnprovements,$�S, COO. — , Fee$ 7
4z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
'j Z all other laws applicable to the construction; locatioq'and use of buildings within the City of -
��o Cupertino will be complied with.
ipr m Owner Address
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rc a Y Address
hon -L 3-0 3' ev O ,2.....
Approve
State Licens G 4�.yy�y� _ [AIDING INSPECTOR
��`''N�RECORD O .I TIO PP OVALS
FOUNDATION '3
DATE - - ``INSPECTOR
UNDERFLOOR
DATE INSPPCTOR
FRAME
DATE INSPECTOR
LATH an PLASTER `f-2Z- 3
DATE INSPECTOR
FINAL BLDG.
DATB INSPECTOR
FINAL Ersc. �
DATE INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
INSPECTOR M
'C ECOMP4ET'10N
BLiILDING' INSPECTOR'S• OFFICE
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CITY• OF CUPERTIN0
yn b• ,+'� .� tri
! Date ...L.t BuildingPermit
.
The',Buildiiig ,7� ' ! n 1
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Owi ed by ...l n d . 6X `Y •✓ n'9. 7' ti i
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Hai Been EO.,"m of LJseyAs°' mar
(Altete
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' 4�4 Iy'F ✓t �+[4 F Y� _
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ING`INSPECTOR it
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1/6-500 ti..V' 'F'Wi I `� .�k av4_. ) F•,- V ' • Vr'T .'.