51181 (4)LOT NO.
NO. STREET
w ¢ ® R BUILDING PERMIT
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OF CUPF.RTINO U,,///6E Permit No. .��
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o pli peon a permit to
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i to a story, Type Building
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to be occupied only as �'�� in accordance with
`o Plans, Specifications and Plot -Plan filed herewith. P1 Cis Fee
Estimated Value of Improvements, $ /%e�/%� Fee
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z ail other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be mplied with.
< Owner Address
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W By Address —
<u Phoney'q� Approve
State License B INO INSPECTOR