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LOT NO.
A s LICA Q , F R BUILDING PERMI (PCyd/ ?65/)
O CUPERTINO �O� 63)
Date ^^ S�ppo��Z``ppS�� , 19" '..p6ermit No. I / � 0
plit4pr'on Is,6- eE�PR N0 a permit to
a__ C—V-0 —story,Type c2. O "14 Building
at
to be occupied only as 241
�y in accordance with Plans, Specifications and Plot-Plan Jed herewith.
q o`er
Estimated Value of Improvements,.$ � I I 1300 Fee$ 0
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It is hereby agreed that therequirements of the Cupertino Building and Zoning'Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Fj Cupertino will be complied with. _
Owner Ce►n. o L� WOMA Address Q 0 fie X (s a �
By AM, Address o
j CONTRACT R, AGENT
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Phone ON�C 6CO .I Approved
BUILDING INSPECTOR
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C<ERTIFICAT'E OF'. •COM'PLET10N
BUILDING,INSPECTOR'S OFFICE
CITY OF CUPERTINO
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Date ----_C�� t i
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.. �.,_•✓ . .:.Bwldmg,Pe m1t�N/o
The Building Located at-.. rFs�';e(' 1-•,;..�„+"s�' _r7 r-,✓' �C•.. -`
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Owned b'
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{Completed) rf. 6' •, .`,
Has Been _;.Far Use As: --.......a_s:1:�:C,
—.•.(Altered).. ----....----------... .
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r° jBU1LDING INSPECTOR
102-:446IL500 ' ` '