507 LOT NO.
STREET -
A TION FOR BUILDING PERMIT �S�>
® ITY OF CUPERTINO �'^
e � 195_ ^ � Permit No. �Q 7
Applic/ation is hereby made for a perm t to �iLAe//
CITA --�sUtry�TINox — Building
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to be occupied only as
in accordance with Plans, Sp ifications and Plot-Plan filed herewith. o a
Estimated Value of Improvements,$��rO, n�� Fee$
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� 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
„=7 Cupertino will be/co�mplied with.
Owner (= i L Address
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BUILDING INSPECTOR
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