941 - 1212e
NO ST, PEE t
CITY OF CUPERTINO C , P
a APPLICATION FOR BUILDING PERMIT EEE.-_-.-.'_.-..-.
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Bwld,n
19
m0 Sanitary Re• No .__.—__._...._.. _..._. ,
0 V Apffcpiion is hereby made for a permit tom__=_____::..
FO Type —�i__'\_.-Structure
to be occupied only os_,' C�--.:..:_�-.1._::5..1 %t' _.___-_ ijIaccordance with 'f
Zi
Z m Plans, Specifications and Plot -Pion tiled herewith. - --
r., 2i Estimated Value of Improvements, S
a - PI Ck Fee_.__ ---
p O It is hereby agreed that the requirements of the
✓t Cupertino Building asd Zoning Ordinances and oil Fee 5....-_-..
O i other lows applicable to the construction, location, and
Z use of buildings within the City of Cupertino will be Total Fee 5_..
Z complied with. {
30 I
W OWNER PHONE
ap CONiR OR arENt",y�•�N.J-sr
SIa�EuIE NSf n
i
NO w. STREET
I R, BUILDING PERMIT
r4 -I CUPERTINO
nate '.5i--' SOL 2 -i -AE t
crinit N,
Application is hereby made for a Permit to r _
-
urn, ne
to be arupied only as /<_✓L.1 Cil;-.• \ ._--�l__�i..c' . �._.- . --- ----
in accordance with Plans, Specifications and Plot -Plan tiled he•.rewitl r
I, Estimated Value of Improvements, S_ .�._. �.� r'_� . �-' Pcc $
'- It is hereby agre..j that the roluirc•menls of the Gipert:mt liud,!;nq and Z-inin� Ordiram. c....5
ali ,nhc, Lr,s a-Plicahle to the mmtrunion, lin.ninn, an.! u.r ,i bud.im4, ,(thin the fav .a
Cu crtmu ,il
� P hCtoryphcd wrth. .
!! v. Owner Addrrsy
//-
/ Ad iress'r
Apptt sitd---