1118di , _
LOT NO.
NO. _ 5'rRE I� ,
OR BUILDING PERMIT
�I F CUPERTINO 11 Q
)ate MAR 2 A 5,r Permit No. !. l U
a 014 k VWory",�e�lt�•���/� z :� A 6 (V b t�Q Building
at O I hiF JG OCIA ` ^ r
p s Y ./
to be occupied only as O X 7- t f}- 7 1-1, O If Q2
in accordance with Plans, Specifications and Plot -Plan filed herewith.' O Q -
Estimated Value of Improvements, Fee $ _
H
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
„j Cupertino will be complied w' h.
/J i cry A
`Ownejk— L7Or � AddressAMk
ddress 1
ppro IIj11
'I BUILDING INSPE TO
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I, 'the' undersigned _d� hereby csrti£y that air;
an;
the owner and occupa t of?+hc siz191c family'i?ti;,'elling at
I Dfo7( p +c
�'d A � �, i'or w.:ich I am malting
application to do
also certify,that,I will no,
e N f ��r contractor,
TLIEPHONE- MYMMBO
as a home owner.
hire any non_liconsed
)ut will do this work myself.
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