1498 /O 3 -' LOT NO.
NO.
® R BUILDING PERMIT
liIJAN 18 CI qCUPERTINO I( -Z
Date _ _ Permit No.
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astory,T � 01 �% Building
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to be occupied only as
(� in accordance with Plans, Specifics ns and Plot-Plan fide herewith. 00
Estimated Value of Improvements, 000 Fee$_ h�
It is hereby agreed that,the requirements of the Cupertino Building and Zoning Ordinances and
.--1 all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
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N Owner_ Address
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j� CON ACTOR, AGENT
'"Phone Approve
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*'I"- G INSPECTOR
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