1723 (2) V lei LOT NO.. 0
TRE T
® APPL~' NI FOR BUI G` PERM1
MAY 2 91962 ` OF CUPERT
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Date S 'a' S , 19LA. Permit No.
��pyicao'is IGUR "permit to C 0 N S T R es e.T
a ONE story,Type Building
1Y) at
to be occupied only as I
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,$ 1(n O 00 —
Fee$
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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.
OwnerCA4 A/D C On _ Addressor). Ao X 6 3 V
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CONTRACTOR, AGENT
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BUILDING INSPECTOR
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CERTIFICATE OF -COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY //OF CUPERTINO
Date ...._// ----- --------------nn, 196..Z--- Buildi Permit N/o.
The Building Loc�d�at (,. ..'
Owned by --- ._.�''r.:+
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Has BC:�Ct3fi pietd')'F Use As: e%s, • r�
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'' BUILDING INSPF.C'fOR _
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