426 LOT NO.
NO. STREE
6 �AP�j,PTION FOR BUILDING PERMIT
r ° OF CUPF.RTINO
J
o < Sanitary No.
SU �/
W Unr R[6_7Permit No.°
a Application is hereQby made for a permit to
i N a�E s �I f , Building
aw , w
to be occupied only as 77 -121fa W`L�in accordance with
o' o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
00
Estimated Value of Improvements, $ /mom Fee$ /0 O`
i J 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
j o Cupertino will be cornu I d with.
NOwner �+�t +� � Address/00 5�-/L4 r .(kii.t '/4(:
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<U Phone Z 9 L- 3717 A rov
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State License Z 2 3 Cf
DING INSPECTOR