2592 I LOT NO.
NO. MUT
w ¢ APPLICATICI 'F'04 BUILDING PiRMIT
o ° y P� t CIT .'^F CUP�RTINO ���96
Sanitary No.
3 a �9�
I96_ �Permit
' o
'o W App ication is hereby made,for a permit to '
aNv I�tld —� - Building
to be occupied only as
0 o in accordance with Plans, Specifications anpd Plot-Plan
nn)filed herewith.
FEstimated Value of Improvements,$ o ' 0 Uv Fee$ Z3S,
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of '
J o Cupertinowill complied wi .
3 m i —",a D7k4A H ` a- Address/ a Ll".O
a a�'ByAddress
a Phon Approved
Q(j State License BUILDING INSPECf00.
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