413 OT NO.'
NO. "t��STREET
A}PPLICATIONaFOR BUILDING ` ER IT'
CITY OF CUPERTINO
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Date'� _19S_ Permit N
nt Application is hereby made for a permit
v a story,Type Building
at ... ��
to be occupied only as
,M in accordance with Plan/Specifications Specifications,and Plot-Plan filed herewith. _
Estimated Value of Improvements, Fee$SZ
It is.hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.--1 all other laws applicable to the construction, location, and use.of buildings within the City of
T Cupertino will be complied with. -
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N Owners ,46��Address3/
By ` Address
' I CONTRACTOR AGENT
Phone �+�— — Approved
BUILDING INSPECTOR
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CER 1FICATE OFC.OMPL 'T
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CITY OF CUPERTINO
Date ......//:. : ...... ..... ............ 19..�.... Building Permt'tt No. ----
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The Building Located at ..;.`�'(• � "/. 4/.
The ............ ...
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Owned b I l . ....S✓.lr:/- ✓rr i •�i�q.=1
y ....._:..........'.................. ............................... . ,
(Completed) /
Has Been (.Altered) For Use As: .......}.... - . %%�
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BUILDING INSPECTOR
102 7/59-500 �,. .