17950 61 Y I Q� A LOT NO.
NO.
DA PLI 10 B ILDING PERMIT
(JUN :i UPERTINO _ •�.
Date • 19^^5//�� _ Permit No.
Applidnn''a l s h�l3by k9U�fERTI '_'Oto � J2� 0'�7— —
a L)story, Type F1�.� oye,2 p I� _
at
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to be occupied only as
in accordance with Plans, SpecificationspidPlot-Planfiled herewith.
Estimated Value of Improvements, $ Don Pee $�RLD�
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
Cupertino wj4 be complied y .
Address
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J BUILDING INSP�C�O
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I, the undersigned do herebyertify that
I ain`the owner and occupa t � the single
`-Tanrily dwelling at 0(- nk,J WA
for ich I am making app ica ion—e do
Z also c tify� t at I will notrk as a homeowner.
non-licen ed hire any i
but will do thio r oo,r or 'contractor,