414 LOT NO. kA.
NO,
o ::4'P . TION FOR BU L ING PERMIT
I CITY OF LUPE O
Date. - - - 195_ _�Permit`No.
Application is hereby made fora 0 pefIJ mit'to g2
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a story,Type �����, Building
to be occupied only as��Giw�
in accordance with Plans pecmcations and Plot-Plan 61ed herewith.
• Estimated Value of Improvements, $ 3 Fee$�
. It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
L Cupertino will be complied with.
C
v� Ownet't '&�� Addres��
By AdIft Addre � Ai
- CONTRACTOR, AGENT
_ Phone 4O— Approve
BUILDING INSPECTOR
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CERTIF OF ' ETION
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BUIL IN INSPECTOR'S
CITY OF CUPERTI
Date —..... ........................ 19-%.r� .B,ildi Permit No.
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The Building Located at
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Owned by
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His Been (Completed) For Use As: .......... ---f
(Altered) .....................................................................
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MALDING INSPECTOR
102 7/59-500