610 �t O� C J� K/ /�+�LC.�/ LOT NO. /J /
NO.
APPLICATION FOR OVILDING PERMIT
CITY OF CUPERTINO L
Date 9 St5' ermit
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Appl b7n jphreby m1tor a it t
a story,Type Building
at iinrnTiiICITY
OF
to be occupied only as 0� 064
in accordance with Plans, Specific ns and Plot-Plan filed herewith. G O
Estimated Value of Improvements,$ QDO Fee$ —7
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� It is hereby agreed that the requirements of the Cupertino Building and Zoning.Ordinances and
all other Ian applicable to the construction, location, and use of buildings within the City of
Cupertim w I e c5mplied4ith:
h Own Address
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( By Addres
fCON ACTOR, AGENT
Phou — '�. Approve _ '
BUILDING INSPECTOR-
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CERTIFICATE OF C'OMPLETIOW
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date ... 7........................... 960 Building Permit No. .. ...............
The Building Located at �i
..................
Owned by ....
Has Been ( omp etc For Use As: ........4�, �g
(A tere ............................
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102 7/59-500