424 (2) NW'�WN FOR BUILDINGPERMITTY OF CUPERT3
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Date 195"_ - Permit No. y �_
Application is'hereby made for ptermit tq
a story,TypeBuilding
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to be occupied only ash r��
r in accordance with Plan Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ AV Fee$
u 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 wit
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By ` Addres "57 fi
CONTRACTOR, AGENT .�
Phone��—w"O 9��5—' Approve
• BUILDING INSPECTOR
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CERTIFICATE OF �CO
BUILDING INSPECTOR'SN
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CITY OF CUPFRTINO
Date .../ ......!: ------_..._......, 19.61.. '� Buil ing Permit No.l..../R'll,�.,
The Building Located at ---z 7........
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Owned by ...�/'!:f.. ...::�.. /t . .if7�
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FlanBeen (.Altered:) For Use As: ........::.................... ......... .'--...............................
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. BUILDING INSPECTOR
102 7/39.500