2527 LOT NO.
NO. STR 'T
E ¢ APPLIC ION FOR BUILDING PERMIT
° tQr OF CUPERTINO
3 i Sanitary No..
U
i Daze Z 196_ Permit No. 42Se:a
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LL w Application is hereby ma f r a permi t
N a story,Type Building
to be occupied only as
' a
00 in accordance with Plans, Specifications and Plot-Plan filed herewith.
F; Estimated Value of Improvements, $ �n �O d Fee$__
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning O nances and
i all "other laws applicable to the construction, location, and use of buildings wnhm rhe City of
d o Cupertino will be
3 I'compli
� with.
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_ m Owner �,h n Address /Oy/D
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Q. By Address
a o Phone '� S a
(((—U Approved
\IA State License BUILDING INSPECTOR
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