879r k LOT NO. // Z
APPLICATI I OR BUILDING PERMIT
1OF/CUPERTINO
Dat e�IT - ; 't!,/9>�s, Permit No.
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Applicatio is ere6y ma _e or a peZmit.to
alC-p-- story, Type Building
I at
to be occupied only as �
in accordance with Plans, Specififations and/Piot-Plan filed herewith.
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u Estimated -Value of Improvements, $ Z a Fee $
y It is'hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
aL4.Aer laws acable to the c struction, location, and use of buildings within the City of
Cup jmplivj�.`��� - A y
Owner �[ ('�•/1C' Address ..7
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By Ci'{' Addres
TRA NT .
Phone Approve
BUILDING INSPECTOR
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W° CERTIFICATE OF COMPLETION4-,;.
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date...... - .....�._.......... ........ ..-, 19_........... ... yBuilding Pertnit%N..
�o: lJ /../ .....
The Building Located
Owned h `' � .a% 16. y 'ice � :_J�G�✓�!..s `.�,_R..c.. �,,,, .r4.�� ..
y...:......................... .....:....................... ........- .... ........
_le - . ��. {
(Completed)
Has Been ( �) For Use As:.....! �..... `.................--.:....
Altered ...... ......................
_.._..............._........... ..................--- - .„�