113NO.
2 1 5 49 APPL CAT OR BUILDG• PERMIT
a - Is¢..•'[%1. E CUPERTI ✓O• .
Date 95_ �, Permit No. %/S
Application is hereby made for rmit to
a ,� story, Type t `'` `;';,; >`` Building -
at `
to be occupied only as =�')p
in accordancewithPlans,Specifications and Plot -Plan filed herewith.
u Estimated Value of Improvements, $ Z'2 _e) O G Fee $
It is hereby agreed that'the requirements of the. Cupertino Building and Zoning Ordinances and
.-7 all other laws appllc a to the.construction, to tion, and use of dings within the City of
Cupertino_ fte ied wit - C
h Owner - Address
_ "9" /.�•' /% . r%� ori ���
Address /
Appro6ed_ •G_)
- BUILDING INSPECTOR 7vv
RECORD OF INSPECT N
APPROVALS
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CERTIFICIATE OF COMPLETION
BUILDI G SPECTOR'S OFFICE
CITY OF RTINO
Date.l._.R.'.%!?rS;`,;...... f�i.............. 195.-` / Building Permit No. h
f.
The Building Located at ._ °'l. :
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Y / �c•-/.,.�;,• 'tom.. ^.,rs... ...........................
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Owned b .. :......... ..✓ ` v :.
(Completed) "7T
Has Been For Use As:
............... _............................ -.... ............ _ . _...... _:........................ ........... __...................................
..................... ........... ...... ................................r ................._....................................
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i •� BLIILDING INSPECTOR
102 2/59-250 .. �