1029 (2) J .^ , LOT NO.
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APPLfC'AA# R~~ BUILDING PERMIT
- UPERTINO 7J
Date , W40 Permit No.-
Application
o.Applicatwn is hereby made.for a permit to
a story,Type Building
at
to be occupied only as
In accordance with Plans, Specifications and Plot-Plan filoed herewith. /'�-�••�
Estimated Value of Improvements, $ /' D� Fee$ �i�•�7 •�
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} � 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 the City of
Cupertino will be complied with.
Owner � U�� P.(A Address
P By ' r"''"!."e'"i./ Address_
�yC&TRACTOR, AGENT
/.'/'hone •/UC.•�->� 21i.� ) Approve .r p�1•e.r
LI BUILDING INSPECTOR
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CERTIFICATE Arr'O OMPLETION
BUILDING'IINSPEC�
CITY OF.,C-'UPERTI�N,�O
Date ........11-4............................,19 .�.....�. Building permit No�. f�`��.�/..f........
The Building Located at .._� H/ .r"` - �?c'�'' k.-'a%L+,
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Owned by ------- /n// ........ r+ : ...fiGi rr
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'(Completed,)_ <:. 44* 9
Has Been (Altered) For Use As: ..................���fff............., ...................................:.
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// BUILDING INSPECTOR
102 7/59.500 ":