1095 (2) I
SLOT NO:
NO. STREET
APRO C N FCR BUILDING PERM
I p
ro
CITY OF CUPERTINO
�<<. _ _ .'•y 195 Permit No. f C) �7
�^ Application is hereby made for a permit to � `� Q�
On ar7story,Type
Building
to be occupied only as ';7 V t,
in accordance'with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ -b0 0co, Fee$ I, cG
It is hereby agreed that the requimments of the Cupertino Building and Zoning Ordinances and
$ all-other laws applicable'to the codstruction, location, and use of buildings within the City of
cupertino will
h
Owner Address/r\f• 5��y�
BY /^ / Addres
cON3 CTDR AGENr . '•r .}=r o-,b. -.-r. - ;
3 Phony S:iZ Approve
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE- a
CITY OF CUPERTINO
Ili i - is .
Date ........r✓7... � ...................... Building Permit No ���.? ....
The.Building"Lo&ted at .... p 4 ± irrf� c G
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Owned by...1._:r'^4
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BUILDING INSPECTOR
102'4/61-500