1252 LOT NO.
R BUILDING PERMIT
.__ Cl CUPERTINO
Date / ryy� Q��(� Per it No.__ n{_�
ACIT
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a_� story,Type Building
at
to be occupied only as i/./ /
in accordance with Plans, Specifications and Pl"n filed herewith. v�
Estimated Value of Improvements,$ 0 Fee$ .J
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
$ all other laws applica le to the construction, location, and use of buildings within the City of
Cupertino will be ied with.
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;? Owner Address
�By Address
I� CONTRA OR AGENT
` Ahorie L .� Approved
BUILDING INSPECTOR
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