51175t
,r\ a 1 If 0 I Pod N. LOT NO. �S
NO. STREET
wA6 I N OR BUILDING PERMIT
o
_�
r W CUPF.RTINO
sI11UI sanirar,. No. _
i Date ^ 6 Permit No.S1 17 S
ro
0 W APPLE TYn OlerebPtgadE f It to Erect— o e LO
Ilii ii ilii UUiCC �/ r
i s a story, Type Q -7c r0 (Q t/ e r Building
<W
to be occupied only as in accordance with
0 0 Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee 3�—
Estimated Value of Improvements, $ Fee $ 3
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
3 t -
_ � Owner K &` Address 21 1`2 /4/f P/
uz
W W Address
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�U P one Zf3�b fY/ Aooroved
State License BUILDING INSPECTOR /61 /