51181 (2)_4J,/5-/2
OT NO. .�
NO.lii
Pf
PL CA f0 I�R BUILDING PERMIT
AN 24 19(S8T' oc cupexTlNo
Sanitare No.
Datel,i f16-- Permit No.
Application is hereby made I"or a permit to
a ZI/ story, Type AX_/�Z Building
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
i
Estimated Value of Improvements, S A �fW Fee $ & -JC
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
Cupertino will be complied with.
State License — ui ING INSPECTOR
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