508 lIam-71 s COT NO;
NO. STREET %
FOR BUILDING PERMIT
® q OF CUPERTINO
S�Q 42 195_ Permit No.
Application is here orapkfloqermit to
CITY' a Vstory,
ype Building
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in accordance with Plans, 3"pecifirations and Plot-Plan filed herewith.
Estimated Value of Improvements,$ T(2-1�Q Fee$ b
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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
Cupertino will be omplie ith.
Owner Address
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By Address
ONTRACTOA, AGENT � �,
Phone K' 'O �d d Approved
BUILDING INSPECTOR
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