51121 POOL9-A,/0 7 6 _ — I P` t'. LOT NO.
S° NO. STREET
i W z rY;X ,P Ic.' TIO:N FOR BUILDIir
NG PERMIT
° r. lhC'I Y OF CUPERTINO
o s Sanitary No.—
W" IjUN l -:r.
Uate 196_ et
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o F Applicat o isferYby�nc�e(Q� fa permit t
' Q ifa •�'I_x s.uA e
z W a story, Ty
aW
a to be occupied onl
0 o .
Plans, Specifications and Plot -Plan filed herewit m
F3 Estimated Value of Improvements, $ �® .
oa
Fee $ /'S • d U
/ F 4,7
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 a Owner �� — Address /D �2
_N
Wa BAddress
Q U Phonr Approved ,
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4 . e.1
State License ,�j IL ING INSPECTOR