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04110189
0 • JOB ADDRESS: OWNER'S NAME: GENERAL CONTI I am not using any subcontractors: Community Development 10300 Torre Avenue Cupertino CA 95014 Telephone (408) 777-3228 Fax(408)777-3333 Suildin De artment .,,,••nn PERMIT PHONE # FAX # Signature Date _ � _ —1„i„ a•L... F„11 ....>:nn inFnrma{inn• rlease cnecx a L1Ct1 V1C JLL VLVuu a�-wa� SUBCONTRACTOR uu... �v... ...-•- - •- •--- -- - BUSINESS NAME BUSINESS LICENSE # Cabinets & Millwork Cement Finishing Electrical Excavation Fencing Flooring: Carpeting Linoleum / Wood Glass / Glazing Heating Insulation Landscaping Lathing Masonry Ornamental Sheet Metal Painting / Wallpaper Paving Plastering Plumbing Roofing Septic Tank Sheet Metal Sheet Rock Tile �L n — Owner/Con actor Sigdature 10/28/03 Date