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1860 / 07/O / ✓..,. A— LOT NO. / `^ -• NO. STREET ® FOR BUILDING PERMIT OF CUPERTINO . t:, may/ Dat 195_ Permit No. Application is hereby made for a per it to.'' a CITEF StCYlrT bt tC Building at y� to b-occupied onlycrr�.�Zli'..Ci LC�U U in accordance with Plads, Specifications and Plot-Plan filed herewith, 00 Estimated Value of Improvements, S&O© Fee$ ' v a 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. E Owner_1. E • A4444 eE' Address /O 71V AIX ROD4 QAd/UE By C'A.PG [. 49Z/YJ1#CE Address 5'fl, CONTRAQ'OR, AGENT Phone / 2 Approve n— BUILDING INSPECTOR. mow. , r J o 0 0 0 0 o r'° .o a t u - u w a O z d Z O W IL om z N LL < O o 0 0 0 0 0 0 G � m O LU F z a z z z z 94 I, the undersigned do hereby :,certifyithatA I am the owner and occupantth i gle family dwelling at /p711Z x r wh chI am making applicatio to do work as a homeowner. also certi .that I will not hire any non-licensed6Aor contractor, but will: do .thlif work myself. Ac . z - 797L TEjtFhUN NUMBER' SIGNATURE