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2894
zi F APP LICATI IRN FOR BUILDING PERMIT EB 28 1964 CLV OF CUPERTINO � LL o Sanitary No. 5U w Date_1 — '^,,196_ ermit No. r ° 'r, I 11-. N LL Application is hereby made fqP a permit tom a a a story,Typ Building w to be occupied only a yy 0 o in accordance with Plans, Specifications and Plo=P ITfiCled herewith. o© Estimated Value of Improvements,S Fee $ �5 iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, locatiog, and use of buildings within the City of 2 o Cupertino will be comfjlied with. _ m Owner / !/ Address a By Address cI rr � 0Phon 7 APProved d State License.l0 X36 C �? _ BIJI'LIIING INSPECTOR RECORD F I ;ISPECTI "N APPROVALS FOUNDATION / DAT. INSPECTOR UNDERFLOOR DATE INSPECTOR FRAME DATE INSPECTOR LATH and PLASTER DATE. / INSPECTOR FINAL BLDG. - b / �- DATE ' INSPECTOR FINAL ELEC, DATE INSPECTOR FINAL PLBG. DATE INSPECTOR FINAL GAS DATE. INSPECTOR