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APPLICATION;FWR .BUILDING PERMIT qd
16C EO ,;CUPERTINO
Dates -^• 1 ermit Na /
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Application is hereby made for .permit to
a__IMR story,Typet7 - Building .
at 171NOv
to be occupied only as r
in accordance with Plans, Spe ' cations and Plot-Plan bled herewith,
Estimated Value of Improvements,$ 0�� «�. Fee$
� 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 Cupertinowill be complied with.
h Owner "+ 6, Address
By ( Address _
CONTRACTOR, AGP T •-•' � r
PhoneAppioved QiGL
s��-�^'� ` - 'T 1`• ,. 'qf' BUILDING INSPECTOR
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CERTIFICATEO".COMPLETION
BUILDING INSPI f R'S OFFICF�,
CITY OF CUPFRTINO _
Date ...t: •.�..)a. .., iJ!3_3 .�j, Building Permit No.,......................
The Building Located at - c...:.r-f . ................_ •�
Owned by -.. y ��. J�
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(Completed) "
Has Been ..(Altered) For Use As: ...... ..:........:.......".j=".!«� -
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BUILDiNC INSPECTOR
102 7/59-500