1097 (2) i
LOT NO.
ST EET '
A.
APt�.Aft- ORR BUILDING PERMIT/ )UPERTINO ( q
Date Permit No. 1�
Application is hereby made for a permit to
a /ntT1f stT} � .Building
at -+�
to be occupied only as
in accordance with Plans, pecifications and ot-lin filed herewith. q
Estimated Value of Improvements,$ OO Fee$ y
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c 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
„j Cupertino will a complied with.
2 /27 aalst ,
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