614 J/QMEQ4twofLOT NO.
NO. S ':ET i'
`a' AP C'AL �N,�FOR BUILDING PERMI JD/'�)
, F CUPERTINO
Date IJAN 7 " f 5_ ermit No. /
Application is hereby made for a permit to
a LfT'�lrory TypC- I Building
at
to be occupied only as
in accordance.with Plahs, Sp ifications and Plot-Plan filed herewith. G
Estimated Value of Improvements, $ 000 Fee$ 57
a
----.� _ I4 is�herebyagreed.that.the requirements of the Cupertino Building and Zoning Ordinances and
v all other laws applicable to the construction, location, and use of buildings;within the City of
Cupertino wi a complied with.
Owner - - Address
By < � Address
CONTRACTOR, AGENT
Phon �- _ "..�' APPcove ' - .
-anILDING,INSPECTOR ,
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