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CITY OF CUPERTINO
BUILDING PERMIT APPLICATION FORM
Building Address: C0ENISQ'N 4VE- TWO C_
Owner's Name: � �K Phone No:
Contractor: License No:
Contact: M1,11u Phone No:
-s H�n 510•-6s6
Architect/Enginee�„ l License No: 0— _ o go
Applicant/Contractor: IMNN� LU K
Building Permit Info: (circle one)
Bldg Elect Plumb Mech
Job Description:
Residential: Commercial: aS�
Sq. Ft. Floor Area: $/Sq. Ft.: '15"1 Qcvftelmu
III S W9w
APN # (Must provide): ( � Z9 04$ Valuation
Type of Construction: Occupancy Group:
Qty. if Fee ID Fee Description Fee Group
Applicable
BTEMPPERM Temporary Bldg Permit BUILDING
BCONSTAX Construction Tax BUILDING
BENERGY Energy BUILDING
BENERGYADD Energy Add Multi BUILDING
BOVERTIME Inspection Overtime BUILDING
BPERMFEE Bldg Permit Fees BUILDING
BMITIGAT Housing Mitigation Fee BUILDING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BREINSPECT Reinspection Fee BUILDING
BSCBLVD Scb Specific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING
BSPECIAL Special Inspection BUILDING
BSWIM ISwimming Pool BUILDING
ZADDCHG jAddress Change BUILDING