502Ik, & /i L/e% ( i,Y . LOT NO. 2Z
NO. STREET
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
195
?fby fora permit t
a story, Type
Permit No. . ✓ ZZ
to be occupied only as���LlOOi1r/�GT
in accordance with Plans, Specifications d Plot -Plan filed herewith.
Estimated Value of Improvements, $_7 ✓f� Fee $
Building
300
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.
Owners f/ ' y- { Address/�U%di
Address
Approved
BUILDING INSPECTOR
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