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Date—
LOT NO.
NO. ASR T® LICING PERM �el171r"1Y 2 91NO�� — .Permit No._���-�/
` ApCiTyn ichereOPERTMO it to k-o AP a TRU C.7
a eo NE story,Type ' eZ O 2, Building
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at
to be occupied only as
in accordance withPlans, Specification_s and Plot-Plan ed herewith. Do
Estimated Value of ImproVe'ments $ % OOD c�, Fee$—C
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
v all other laws applicable to the construction, location, and:use of.buildings within the City of
Cupertino will be complied with.
Owner A O O" G - Address_ W.''f3
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Dy._ Address
! CONTRACTOR, AGENT �
Phone fI:— �+'O mon Approb
BUILDING INSPECTOR _,�
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CERTIFICATE OF COMPLETION
BUILDING 'INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......:l..t /7•--------------------- 1 fes..
---•-- Building:Permit No, 9.%7zml
The Building Located at -.1' :•%! :.."...1„x!. "�/.-- `r' {�.-f.r--......
I, Owned b C iai- �l
9 - L3-......a..; ........ ? ....._.............................
Camylet�d),
Has Bee� For Use As: ............ t-.f
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102 4/61-500 �:- ✓ 7BUIEDING, INSPECTOR
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