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NO. STREET
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Ic!I� � CUPERTINO
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4 , 19" Permit No.—
Application is hereby
pmade
'for a permit to ..G o .y a rip u e T
Building
at _
1� to be occupied only as D W p—
in
in accordance with Plans, Specifications and Plot- kan filed herewith.
Y. O=
Estimated Value of Improvements,$ gt O O o Fee$ S 7
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c - It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
$ all other laws applicable to the construction, location, and use of buildings within the City of
„j Cupertno will be complied with.
` caner d _ _R/SS Address p O• ei x A 9 sC
y Address IV
p CONTAACTp00., A •NT � ;
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t BUILDING INSPECTOR
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CERTIFICATE ..': O.F - ,COMPLETIQN- :'
BUILDING 'INSPECT'OR'S OFFICE . .4.
CITY OF CUPERTINO '
r
Date ... . - 196A- ullding Pe 1t No � ��.
The Building Lova a[ .. �/ ...
f�
Owned by ._..{.e.�t ?s ..... ..,� ....... .
- ...... ............
Has Been C plet } For Use As:..........,m • - i
(Altered) --r� ----------------------------
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B
- --B ILDING INSPECTOR
102 4161-500