1399 I TIL(la VB LOT NO. 73
®
AN .FOR BUILDING PERMIT
�Initl OF CUPERTINO
,SEP' 1 9 IJ6� ITY
Date September 13 ' IS61 Permit No.
CITY WI�ItURficRTjWe for a permit to biA lrl
a_ 1 :1 story,Type 51 J Building
at 10251 Western Drive
to be occupied only as i f'1 jr resideaca
in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,$ 180000_00 Fee$ 57 On
y 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
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Cupertino will be complied with.
Own&9_1Q 1&EE .TR BHT TNf AddresdJi nr• + nevi rl
y Address San J e i
CONTRACTOR, AGENT
i, hone ER — _ Approved
60ILUING INSPECTOR
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{ CERTIFICATE OF COMPLETION
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The Bmldirig Located at
Owned by
Has �;- --ft Use As
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aunDiNG INSPECTOR
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