1412 (2) LOT NO. /
NO. STREET
APPLIC TI N' FO BUILDING PERMIT
CITY OF C(:1PERTINO Cha /9)
D 8 195_ Permit No._VX
plicationgisQphe++reby ma or a pemut to �- -'r
a 2sar),94v� _Q Building
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PLNTINU
to a occupte only s
in accordance with Plans, Specifications d Plot-Plan filed herewith.
Estimated Value of Improvements,$ r'� �H-O� Fee$ S7
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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
o--1 Cupertino will be complied with. >>//
h Owner �/ G� /�=S L'/ Address
By ' Address G
_ CONTRACTO A ENT
Phon - 6 Approve
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BUILDING INSPECTO
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CERTIFICATE OF COMPLETION
BUILDING INSPECTORS OFFICE
CITY OF CUPERTINO
Date -----
I-------------------------------- 19------- Building.Pervnit Noj,.V"f.Lc.!...
The Building Theg ---\ i
Located at .....q.....
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Owned
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(CornPl!qe�d --)
Has —(Altered) For-Use As: .......
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102 1/63-500 BUILDING INSPECTOR