1023 (4) f b r c F1-iey t (-L Iv ,.
_ �� � LOT NO.
No.
PtL�C N FOR BUILDING PERMITr
s I OF CUPERTINO
Nog1/ 4 TY' 195_ Permit No.
Date_
CIT�ppbpatiq�j;� a For ape I to �rZ�C 0
a I dI �b(story, ype �A 1-1 o Co IQP� Building
at ioWytLl4.A-J �2_ .
to be occupied only as C K oZ I r R' 1 t o ��A(Q c .
in accordance with Plans, SpecificatiogA and^Plot-Plan filed herewith.``2�
Estimated Value of Improvements, $ Fee$0106
v
� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construcbo location, and use of uildings within the City of
a Cupertino will be c plied with. ///�
r Owner / _ r/ "Address D
in
By Address
CONTRACTOR, AGENT
Phone – 20 a Approve
BUILDING INSPECTOR
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the undersigned_do...hereby cer.ti£y that
the miner and'occuiarit of:Aho's riglc;-fzmily dwelling at.
�/Q,.^for which '•I . making
application to do -
�2 NvQ'
K t.rork:as a home oorner,
I also-,certify that I will rot h rean'
y non licensed '
l:Kl'R
2or contractor, but will do this work my, -lf.
TMEYHONE r4UPIBL? �2Gv SIG1N
. tATUFt E .