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NO PERMIT NUMBER (2)
A\ o LOT NO. Ir NO. STREET VAL. 6�� �,,. �+ C•�^E.TI?IOCITY OF CUPERTINO CAP. » d APPLICATION FOR BUILDING PERMIT EEE '�° w Z /T(r �' �j (�%; Building Per.No. Data L I l ,19 . Y Q ' Sanitary Per.No. fL�cc J>Y Voc iFC 3 Applic ti n is herrbg'made for a permit to = u_ a story, Type Structure � O O uu to be occupied only as in accordance with a Z Plans, Specifications and Plot-Plan filed herewith. av r Estimated Value of Improvements,$I I)()a PI Ck Fee$ O O It is hereby agreed that the requirements of the O'a > Cupertino Building and Zoning Ordinances and all Fee $ 0 other lows applicable to the construction,location,and Total Fee$ Z - use of buildings within the City of Cupertino will be Z complied with. w Z OWNER PHONE ADDRESS CONTR.OR AGENT 11/ / ADDRESS_ PHONE STATE LICENSE Ci BUILDING INSP C OR ©ie