NO PERMIT NUMBER (3) 107:. -far wayWditior:)
NO. ST LOT NO.
1.96
CITY OF CUPERTINO
APPLICATION FOR BUILDING PERMIT
i
SANITARY NO.
FILE NO. 51,379
DATE 7/12/76 I�
Appi,canan o he,ebv mode for a permit to
_.Onstruct an Addition _a_ 1—_story. type_ 5 N. rig•.
880 sq. ft .
lobe occ.o,edonly ,,__Single Family Nrelling (Additioaa)
in accordance with plot pian,plans and specd,cot,on f-lea�r,cwtm
ESTIMATED VALUE OF IMPROVEMENTS S— 8.Don __..--
FEE S 121..)v-- _PLAN CHECK S
OWNER --Tfli-T... Payi rh ADDRESS
PHONE — -2P5-_'P087 --
CON ia,.._ ADDRESS_—
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EUILDI, tNSFECT!Gl: RECORD
FLOOR STEEL
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LANCSCAPiNG
F ,'A-C) INSPEC?ION 1-
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