1107 LOT NO.
NO. ,STREET
, FOR BUILDING PERMIT
C F CUPERTINO
Date 5_ ermit No. 67-
Application
7Application is hereby made for a trait to
a�IT� r ,Building
at
to be occupied only as
in accordance with Plans, Specifications and Plo-Int filed herewithp
Estimated Value of Improvements,$ Fee$
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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 will be complied with
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Appro
BUILDING INSPECTOR
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