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21 IOT NO. (�
FOR BUILDING PERMIT
OF CUPERTINO
San lrare A`U._
Dat'01T%(�f ( CUPFRT1N(I62
Permit No. "12--7
Application is hereby made for a permitter WAC -c- C-7�ITVI.AA )C rz C r
a story, Type Building
to be occupied only as�1�..�a...�i.-� C�w��a�a._or with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
d U o
Estimated Value of Improvements, $-15 ) Fee t
It is hereby agreed that the -requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cuperun II be complied with. ' r
�r(-q�LL l /� O �{ c)` t E$ Address_. /f- �ArDS
ByS A� i°�p- Address A6 1 A 2 bG N 1S' „Q
Phone ::,'`f S - `FY S'Y
Approve
State License DING INSPECTOR