1507 � 02
TAN
LOT NO.
APPLIC N F BUILDING PERMIT
1 8 �9 OF CUPERTINO
Date5_ Permit
rAicaQF is^AIPPppIINn
permit
a Z story,Type > T '7 Building
AN at AtJpvc
W
to be occupied only as
in accordance with Plans, Specifications and Plot-Plano ed herewith. oO
Estimated Value of Improvements,$ Z,P626o — . Fee ;57
v 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
.a Cupertino will be complied with.
v
Owner Address
By - Address
,� ,�+ CONTRACt AGENT
Approve
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