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`� ' LOT NO. �
' NO. ISMEET
APPLICATI , ',R'BUILDING .PERMIT
CI CUPERTINO
1 Date =�' � P 195— Permit No. - v�
Application is hereby made foermit to
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a story,Type - Building_
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to be occupied only as
- in accordance with Plans, Spec cations and
Plot-Plan filed herewith. p O
Estimated Value of Improve ents,$_�T CIOO Fee S
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other I. is applicable to the construction, location, and use of buildings within the City of
Cupertinoill be complied with:
Owner Address
By / Address
CONT�ACTO AGENT
.Phone aC— Q' Approv
" . Y 1111 No 1NSPECTOR
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CERTIFICATE 0-F ' COMPLETIO:IVI
BUILDING INSPECTOR'S OFFICE t
CITY OF CUPERTINO
r t /Date ......✓... .`.'.'� ......... .............. 19.`.%�. .... �Buildin Permit No. .Y.=' ,:.. .......
The Building Located at ----:. .. ..7.�-. :, .... .............. "..............
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Owned b S.-6'��l!�.J 7!✓......t� .q—,-:'.�. J ' . ...r.' .•......
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Has Been ((Altered) j +!
For Use As:
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702 7/59.500 18UILDING INSPECTOR
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