888 (2) LOT NO. Arl
/All6 3 S IBQ TION FOR BUILDING PERMIT `
,CITY OF CUPERTINO
`"��t R7�tV0 19� Permit No.
' Applicati i ereby made for a�p6mit to
r.� a�story,Type `-� Building
at
- .to be occupied only as
j in accordance.with Plans, Specifica Ions an Plot-Plan filed herewith
Estimated Value of Improvements, $ zvzo Fee$ 3Z4C
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances andns
all r laws,ap ble t the co -coon, location, and use of buildings within the City of
'; „•I Cuper plied I�
a` h Owner �%' Address ✓'
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By Address
CON ACT A N
12.Phonf K APProved
BUILDING INSPECTOR
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- CERTIFICATE OF COMPLETIOWl .,�
BUILDING INSPECTOR'Sy OFFICE
CITY OF CUPERTINO
.� 194--- Building Permit No. .._! ..!��,!?.....
Date —! //� -................/-.... .. , "'")�'J f
The Building Located at !{ {.:GC �2..e... ........
Owned by
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............... .............
ple- eted� ...
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Has Been (Altered) For Use As: ........cS:. . .................f:2-................................---- 1
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102 7/59-500 11iJILDINGINSPECI'OA •?,