365 LOT NO.
NO. APPL C4I N _FOR BUILDING PERMIT
ITY•.OF CUPERTINO
A ti
Date rAn 'i Permit o.:3G._C'
t� Ap pphelgby tpgde for i to
" 1 a �IPP�I story,Type'•7�7 Building
at
to be occupied only as
in accordance with Plans, S ifications and Plot-Plan filed herewith. �'T
Estimated Value of Improvements,$ Z3 4,fe) Fee$ T�
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
v� Owye ;.1 � /t Address
By Address S�
/ CONTRACTOR,/ CONTRACTOR, AG
Ph n L— Approved
.. - BUILDING INSPECTOR
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