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10575 ' ' Orange T3ne' ,ane n• 27
OT NO.
3A' UA FOR BUILDING PERMIT
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VINUN 1 1 63 Sanitary No.
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Date 196_ -Permit No. �W9-3
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0 CI� pIi ta41Fon �R�IeByfl Adenfo a permit to Erect
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a to a 1 story,Type 5 I J - Building
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to be occupied only as SFI)
0 0 in accordance with Plans, Specifications and Plot-Plan filed herewith.
> 3 Estimated Value of Improvements, $__1_9 LOOO_-00 Fee$ 60.00
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
q Cupertino will be complied with. ..
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Owner Blossom Valley Homes, Inc. Address
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Address
a o phon ?}15-0617
- 6-6 Class Approve
(� State License a _ SDING NSPECTOR
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`i� CERTIFICATE OF COMPLETION
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BUILDING••INSPEUOR'S OFFICE
CITY OF CUPERTINO
.Date .............!.......... }..:... . .......
.... / - Building Permit No:�.'.:.�...:....
The Building.Locateeat s ! ..........................�+ �
....:..........4:......................................
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Owned b k 1 .................. J 1 ( ..................
Has Been (Completed)_ For Use As: .--`='-------11.
----- ...............................
(Altered) - +z --""
....... ..
...............................................
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BUILDING- INSPECTOR I'~�
102 7/63-500 t �„