2639 NI- LOT N0.2 S
�P� PLNOc.�� � STREET
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I A ION FOR BUILDING PERMIT
s ° CITY OF CUPERTINO /, n
J �1963Sanitary No.3aAUG 23U ZL 196 3 Permit No.
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a w Ap Ijca 'oh is)IieFeliy,made for a permit to
CITY P, `t R LIQ I _. -
z N a �� story,Type s� I Building
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to be occupied only as fvrr
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0 o in accordance with Plans, Specificati ns and Plot-Plan filed herewith.
F3:0 Estimated Value of Improvements,$ /J.'0170 Fee$ .5�). 00
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z J It is herebyagreed that the requirements of the Cupertino Building and Zoning Ordinances n
K 9 P R K Cita f
all other laws applicable to the construction location and use of buildings within the z P-c K City of
� o Cupertino will b w'
Cup e complie/d7 with.
3 < 9rA- C,LMu� Address 55 Al /F J' X.-j
_ m Owner
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a U Phone .2 S3 — J/D3 A roved ,
State License �S�7 y/ PP BUILDING INSPECTOR
RECORD OF INSPECTION A PROVALS
FOUNDATION
DATE. NSPECTOR
UNDERFLOOR _3 i
DATE 'C INSPECTOR
FRAME
DATEINSPECTOR
LATH and PLASTER ( ,j-
DATE
drDATE / INSPECTOR
FINAL BLDG.
DATE INSPECTOR
FINAL ELEC.
I� DATE INSPECTOR
YYY��a FINAL PLBG.
`y
FINAL GAS DA INSPECTOR
1 \�
nnrR INSPECTOR