412 4>=• .. �" /I \ Llai LOT Nn�_
NO. STREET ` I
APPLICA FOR BUILDING PERMIT
•ITY OAF:CUPERTINO
Date 195_ Permit No.
\ � Application•s here y madefoaa•''(,�mit to��{2� .
a . - story,Type Building
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at
• to be occupied only as
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in accordance with Plan pecifications and Plot-Plan filed herewith.
.Z, Estimated Value of Improvements, Fee$ ✓r. Imly
t y+ •'u allt is other reby laws agreed
oet requirements c construction, location,local the grtino and useding of bindings ing within thences Cityand
of
mak'f 4' Cupertino o��will be complied with. /
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Address
CONTRACTOR, AGENT
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Phone
_ Approved
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`({ BUILDING INSPECTOR
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CERTIFICATE OF CTIPLE :I N
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERT05
Date ..... .....--------------------------------- 19.x-..:...-- 7 Buildi IV
.........
..
The Building Located at 7............"......
:'il....;.................................................. • . 1
Owned by ..1.....t-�pr7.', '/ `_- .....................
.......
.- -- ... ..`..........._........._......
(Completed) s� �•
Has Been For Use As: ......
(Altered ..................... ...........................................
..............................------ ........................................._..................................................... _.......
.............._.........._..._..............................
...................................................................................
BUILDING INSPECTOR
102 7/59-500