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1263
j o a o$ i rA C t- . a 'NS. � STREET APPLIATION FOR "C— OF Date95— ermit LOT NO BUILDING PERMIT CUPERTINO f `� /� jeermit No. to Qjat , 0� Qi.i©CiQ l at CR Y n` r L1�1/1 to be occupied only as L in accordance with Plans, Specifications and Plot -Plan filed herewith. ©0 Estimated Value of Improvements, $ r ,d ®© Fee $ CQ v C It is hereby agreed that the tequiremen of the Cupertino Building and Zoning Ordinances an all other laws applicable to the construction, location, and use of buildings within the City of a Cupertino will be complied with. _ AddresS�S9 f D ) c �' �� ,%VI t Owner By CONTRACTOR, AGENT 7—/ Mone X BUILDING Ci( itEGOR 0�� NAPE 7 /".,/ I)ATE FRAME -A LATH A LATH and PLASTER FINAL BLDG. FINAL ELEC. FINAL PLBG. FINAL GAS DATE DATE DATE TROVALS �I=JNSPECTOR �-�x. NSPECTOR i 5���ECTOR��� INSPECTOR INSPECTOR INSPECTOR INSPECTOR 1,,. the undersigned do hereby certify that Y am the owner and occur-^nt of the si gle'fa.mily dwelling at ' for which I an making application to do C A ter 2 �1 ewerork as a home owner. I/-lso certify that I will not hire any non licensed contractor, butt will do this work rr�y s SIGNATUR