416 (2) LOT NO.
NO, STREET � 3 T. .. '
APPLIC_AT.ION tOR B I DING PERMIT
CIT WF, CUP R INO `' \\\
Date 195r .>.' ,Permit ^ 'o.
Application is hereby'i a��fo�a pAr mit to 't t
a story,Type, .11 - Building
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at.1/��
to be occupied onlyas �12.zt cn—
in accordance with Planpecifications and Plot-Plan filed herewith.
a,
Estimated Value of Improvements, .3 oa 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 with.
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Ii Owner Address�J� /
By Address
CONTRACTOR, GENT
Phone f�— J Approved
BUILDING INSPECTOR
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CERTIFICAIJIE C0 KPLE, I0Nift
BUILDI G 1 ACTOR'S OFFICE ' 35Ly
CI M,UPERTINO
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Date .................. --- 119..------ ing Permit No, ...
The Building Located at �� : :..
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Owned by .. .. .. . ... .1:*. 4'r3 .. �'..: ���::."ze ... ........ .............
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(Completed)
Has Been (Altered) For Use As: ......:...::.:r................._.........i.................................. ¢.
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102 7/59-500 BUILDING INSPECTOR.