1040 LOT NO.
NO. STREET
YK2CJW QFOR BUILDING PERMIT�j��� >
® GI F CUPERTINO
r5� Date 95_ Permit No. / Q V
v A plication is herebyma
defora permit to L:re C C. 1
I� a4 ly'au T Building
at �3 ?% S TO Z
to be occupied only as S '=
in accordance with Plans, Specificatio and Plot-Plan filed herewith.
Estimated Value of Improvements,$_&/ DOO d Fee$ 600
v
a It is hereby agived tbAt the requirements of the Cupertino Building and Zoning Ordinances and
$ all other laws app le to the construction, location, and use of buildings within the City of
;-j Cupertino will be plied with.
h Owner x/ ddress
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By Address
C TRACTOR AGENT t
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--'=,CERTIFICATE OF COMPLETION ;— .
BUILDING INSPECTOR'S OFFICE
CITY OF/ CUPERTINO
Date .........s!Jl��° ...................... . 1 L...... / Building Permit Noor/,/.��
The Building Located at . y ¢` f� (, ?,l fr''l r% ..r..'. ..............
Owned by .......... <:: .............
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(Completed)'j ,
Has Reen - For Use As: - :f--��..r'�.�'.... '-
(Altered) ................... ...._................�.............................
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m `BUILDING INSPECTOR