1414 (3) LOT No.
_ NO. STREET :
l C FOR BUILDING PERMIT
® I CUPERTINO
Date - Permit No. I 1
Application
iss hereby madee..lfoorr a permit to ��F,c�
�kto,y EIFP�(I -T Building
at
to be occupied only as
in accordance with Plans, Specifications nd Plot-Plan filed herewith. 00
Estimated Value of Improvements, S -I , '�"b �� Fee
v
,. It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
$' all' otherlaws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
i Owner t ! r 0Address
f
fi „� 1(}y ii - Address �,..
`t(//1/ A CONTRACTOR AGENT
A� Phone �x O Approved
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