568�?•<�^.f }• /tf"��I�CI^'c /`Jv \ LOT NO. -
�j } NO, STREET
"APPLICATION FOR BUILDING PERMIT
.� �� CITY OF CUPERTINO
�f : .Date 195_ Permit No. _
e. 't,, .:Application is hereby, [mpade for a permit to �L _174
. { a �� story, Type'�I� Building
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to.'be occupicd,only'asin accordance accordance with Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements, $g� Fee $
� 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 Cupertino will be complied with.
Owner b F L SLtn i ftp' Address
ByAddress 50
OIM1TRACTOR, AGENT
Phone .3 Approved
BUILDING INSPECTOR
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