2868I
LOT NO. 4�9 w
NO. STREET
IC O4 FOR' BUILDING PERMIT
® ' I F CUPF.RTINO Q
_ Sanitary No. O
Date `I FEB 7 AQ4. sl. 6'X ,Permit No. �1l
Agplication is hereby made for a permit to.E'��'T�
n/ew /,.I -Y Building
to be occupied only as
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ !� enn Fee $ f sc
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatiop, and use of buildings within the City of
Cupertino will be complied with.
Address k,.
Addressl�LX/�s'ar 63fl
Approved
BUILDING INSPECTOR
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CERTIFICATE O F: C•O'M,P?LSE* U6k,-
BUILDING INSPECTOR'S OFFICE
CITY OF ' CUPERTINO
Date ..... ....... ....................... 19.La.� Building Permit No.
The Building Located at --...> ?,•..1/ ,/^ /,�' ..�{ ,;,.a...._: .....
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Owned by ......_/ /!'^.:<.r+—..??.'..'..,;u!�: ..4 fn,�i�l1
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Has Been (Alter"`ed) For Use As :...............:.... c - !_.
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102 1/63-500 ?� BUILDING INSPECTOR