1828 i
v, 9 bJ 4� LOT NO.
No. STREET
t,�l FOR BUILDING PERMIT
® 11,, t e r� OF CUPERTINO
Da V� i V ���L 195_ _Q Permit No.
QAAppllication is r�permit tok l:C�
a_ Iif��.st"UaG R 4?";-4uilding
at O
to be occupied only as
in accordance with Plans, Specification an Plot-Plan filed herewith. oO
Estimated Value of Improvements,$ ', Fee
u 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
Cuperti ill be complied with.
in Owner �VAddress
By00, Address �Yc rl C.
CONTRACTOR, AGENT
Phone R� — Approved
BUILDING INSPECT
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