423NO.
-1f7 LOT NO.
TION FOR BUILDING PERMIT %% TJ
CITY OF- CUPERTINO
nate � 195 Permit No.
Application is hereby made fora permit to eltet�
a� _story Type ' t�—�t�Y:6llC Building
at
to be occupied only as
in accordance with Plans,'Specifications and Plot -Plan -filed herewith. 1-
Estimated Value of Improvements, $�S. Fee $ % S
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 yell be complied with.
— Addres� C ��
't Address" '
CONTRACTOR, AGENT
_ !,/,�� Approved
BUILDING INSPECTOR
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