253 (2) LOT NO.
NO. STREET! ,i i
2 15 5 APPLI�AT ON FOR BUILDING ,PERMIT
CITY OF.CUPERTINO
Date �' � 195 ermit No.-
App
o.
i eC C �`x�
A Lica n ivhereb made F rat ermit to
a story,Ty e ' Building
at
to be occupied DD�//aly s - r I '
in accordarXTaGth lans, ! e ificat, sand Plot-Pla Iled herewith.
Estimated Value'of Improvements, $ Fee$.I?--
It
-
y Itis hereby agreed that the requirements of the Cupertino Building and Zoning rdmances and
all other laws applicable to the construction, location, and use hr
w thin the City of
'--I Cupertino co ed with. /
i J2O>
v� Owner - Address
By Address
¢ONTRACTOR E�`
Phone / Approved
\ — BUILDING INSPECTOR `�-i
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CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE r
CITY OP'CUPERTINO
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Date :._... <'.+f.!"�.+�.`.�................ . . . 195.: .: ... Building,Permit No.:,t:�C.,:�.,.r'...----
., The Building Located at /f}!fir P) fr� ;^".: '�•C.*tet-! _
...
Owned by .... rpt✓ ../,
v'
(Completed)
His Been ( For Use As: .... �`,....`" t/ .........- - ".
.Altere - .._. . ..............................__-....
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BUILDING INSPECTOR
i02 2/59-250