373 /yfC.NO.
I/ .REET •-f, LOT NO.__/_p --
APPLICATION FOR BUILDING PERMIT
t95—
OF CUPERTINO
O `
` Dat Permitp~c}lipq isthaevaermit to
a JU story,Type 5' Building
at
Vol I
to be occupied only as i h.�tr
in accordance with PI ns, Specifications and Plot-Plan filed herewith. o
a Estimated Value of Improvements,$ .>J- Fee$
v it is hereby agreed that the requirements of the..Cupertino Building and Zoning Ordinances and
.12 all other laws applicable to the construction, location, and use of buildings within the City of
"'I Cupertino will be complied with.
N Owner - Address gg�'2"
Bp- AdIft Address
CONTRACTOR, AGENT
Phone 1- ���� Approved
BUILDING INSPECTOR
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