51075.4 / d 7's-0I �Ix ( .Cw...r` Lot No.
� No. Street � ?
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
File Nrz7J 1"
a,
7 �
Sanitary No,
Dote 196
`II
Application is hereby made for a permit to '
(� �� e 1 a .z stop TY
Pe i
to be occupied only as
in accordance with plot (ars, plans and Specification filed heremitk
1
�y p�J d
Estimated Value of Improve menta ; J O / d V O?
Q ' I
FEE$ Plan Check $ �'r/e
Owr'°r Address
_f-Vi1Z tL 3CG
Conir.
Phone /
State License 79 7fL�
Y Approved / �L )1rJ _ —•4.�
�ENSE
CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OFCUPERTINOCUPERTINO
Date ._.
. r "------3-Q.....................
19-6d.-..-- Building Permit No. 5-1v.-75:Y..,�._-
The Building Located of ..y..6.qs-o--........T 4u�..._ ".1,.............
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Owned by - - - . --- a----------- ---------
.------ ��
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Has Been (Completed) For Use As: ... .- -_'l ^2: F ++�7>tt �+ � •
(Altered) ¢
.--- ------ -------....7----------------..
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BUILDING INSPECTOR
102 12/66-IM