940 (2) LOT NO.
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:I APPLICATI JCFOR BUILDING PERMIT(// t�
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rr 2 I�1 OF CUPERTINO
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Dat (��[r' n',^,,,� 195_ ermit No. 9T—C J
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sto_rym,Type Building
at
to be occupied only 4
in accordance with Plans, S 'fications and Plot-Plan filed8erewith. 00
Estimated Value of Improvements,$�O10 D O 0 Fee$
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c It is hereby agr that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws Iimble t construction, location, and use of buildings within the City of
Cupertino wi o plie th S
Owner " t Address �� 3 Q !1111'E�Clll
'ByAddressCO HRACCOR, A NTV27 Phone b ( Approve' BUILD
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CERTIFICATE OF COMPLETION
BUILDINGSPECT R'S E
IIQ O OFFICE
CITY OF CUPERTINO e�
Date .......!?/`-f r4............................ 19. r..'.... Building Permit N0. 1-
,The Building Located ate,✓✓'t. Cn.. ._ ...f,.-, ?r»,A.,,`re.H».....tt'��f�-f.F�......................
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Owned by ....,..� 'Y..:. ..::..:.sw!it w.......�.:-t.:,=�'r.�.:.................................................
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Has Been (Completed)
yFor Use As: ..._„ f !--- --!--'"
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!' BUILDING INSPECTOR
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