372 LOT NO.
NO. STREET ,� +
"'.. APPLICATION FOR BUILDING PERMIT
'.� , •f• /,�� CI1T\,OF,CIIM&INO
< i 3`Date i - 95_ 'Permit Ndl,�---/
• `' '�. � + A'pplication is hereby made•for a permit to
. fri t t% story tiTYPe. S'.". — t T' �jC' Building
OF CUP M
at
s to be occupied only as '
t
'in accordance with Plans, Specificatio and Plot-Plan filed herewith.
%,j Estimated Value of Improvements,$ 7. 09-V• Fee.$_
.y.,� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordibances and
,.�P;:8 .' all other laws applicable to the construction, location, and use of buildings within the City of
r4 jCupertino will be complied with. '/
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Owner U� A
Address /l/Go a it
ai y � Address
+ — 1 CONTRACTOR, AGENT ^
• Phone -�/O'd 6 Approve
But DING INSPECTOR
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