887 (2) 1
LOT NO. A. O
} S E
Aye A LI $101 FOR BUILDING PERMIT �� 3•l
fiMY� ts �f CIT OF,CUPERTINO
CITYe (�(� _ l9J6@ Permit No.
- A�plic-a^io' ' h e j taBe for a permit,to
a, vKC. story,Type Building _
at
to be occupied only as
i1 in accordance with Plans, Specificati ns and/plot-Plan filed herewith.
is / Fee$ DSO
. Y - Estimated Value of Improvements, $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all iaber laws app cable t the co traction, location, and use of buildings within the City of
Caper will b lied
Owner Address 3 ko
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By Addres
COACT GPNT
Phon Approved
BUILDING INSPECTOR
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CERTIFICATE .'OF COMP;LETIOtj
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;c';:BUILDING,r`INSPCCTOR•S OFFICE.
fb' CITY OP,CUPBRTINO ';
Date ............1! ./..`}:. ., 19 (x..... ""'- Building.Perrfro, No.-:..°=.'*_.,� . .
The Building .......... Ir
Owned by .... 12/f'1'/ 1 Ca ''G i¢ `J �✓ f!2'.G/
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Completed.) � � i
Has Been _(Altered)- For Use As •�'
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Y BIJILDINC INSPECTOR 1
102 7/59-500 ^k8Y