438 I I i�3j I
LOT NO.
NO. STREET
wAPPLICATION FOR BUILDING PERMIT
ao CI F CUPERTINO
4
o Sanitary No.
3U
F o Date � '' NnV 17 1 e Per it No.
LL r Applitatt n is hereby made for a permit toQ,t._r�.�,.ua-/�.t'/�
o < i
zto r -e7X i i 1
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h.be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI ok Fee p
"; Estimated Value of Improvements,$ 000 Fee$
zJ It is hereby agreed that.the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will a complied with.
3i
Owne ress ..a
w z
C, By Addres
07
t
<U Phone Approve
I State License 1ILDING INSPECTOR
�. :77,