448 /D�/O 1 (/j/ �/t�p/ ..CJ�✓C� LOT NO.
NO. STREET
APPLICATION FOR BUILDING PERMIT
/aa TY OF CUPERTINO
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�lppllction`ts hetMffnai'a perm' to
at CITY -
story, Type
Building
to be occupied only as
in accordance with Plans, S ifications and Plot-Plan filed/herewith.
Estimated Value of Improvements, �pf(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 a City of
Cupertino will be complied with.
in Owner V" )iAdress
By �a L' ✓ Address ? .. c� t�c
CONTRACTOR, AGENT
PhoneA.(— �- '0d Approved
BUILDING INSPECTOR
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CERTIFICATE .. C C MPLETION ' '
s.
' BUILDINGi INSPEcro 'S iCF
CITY OF CUPERTINO
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Date .,... �� —....................:.:....... 19J.�... Building Permit.No. ...%�:.:........
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TheBuilding Coated at ..:..:..........::..............r..:............:..:.............r:a.r.e.............:.............
Owned by .................
(Completed)
Has Bern (.Altered) For Use A'si F } ;r. ri:'"
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...............................
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- 'BUILDING MPEMR '..
101 7/59.500 . ' '