2228 (2) 'f LOT NO. T "
NO. 57cREEYJ
w T Q /! I I FOR BUILDING M
Q ° 13jY1 OF CUPERTINO
3 u R 2 9 3 Sanitary No.
if, 91 6
W o Date 196_ P,ermit No. Q
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aIn a story,T IBuilding
W
W I to be occupied only as ,2J
20 in accordance with Plans, Sp cations and Plot-Plan filed herewith.
> 0 /3 000 n� u�
F 3 Estimated Value of Improvements,$ Fee$_
i._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
d o Cupertino will be mplied ith. ` ^
3 m Owne Address C, ` �(-
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a a By Address
a� ��Iy' -� — Approved
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State License / BUILDING INSPEC OR
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