534 i 9990
oa 9-!,(
No. C' Lot No.
I]A�IQON FOR BUILDING PERMIT a8
AN 7 3 199PLbty of Cupertino
Sanitary No.
-� Date ,,rr�� �//�� , 196_f� P mit No.
E = Application tsjWreQ YggE grTaI' it to
Y E n tt
a,° `.� a ,Ty e 't o gf„ilding
in accordance with
o [o be occupied only {�
° °' Plans,Specifications and Plot-Plan filed to
. I Ck Fee
T n Q
Estimated Value of Improvements, $ '7z"5- w Fee$
o It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
"> ° all other laws applicable to the construction, location, and use of buildings within the City of
o A Cupertino will be complied with.
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.3 R Owner S'pdA.tq Address
By ® /Z f/ SlGrl/5
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t.n E Phone Appro d
[j g Inspector
'J State License 2 i9 to