1506 .. /0,2 NO. LOT NO.
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APPLLI�pC�ATION R -BUILDING PERMIT
JAN 19 CUPERTINO Ca
Dat e�� 19/5'x_ Permit No.
App7ta i n i reb d lykit to-JL C T -
a story,Type T Building
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at /57 45O
(� to be occupied only as 3�
in accordance with Plans, Specifications/and Plot-Planfiledherewith. c o
Estimated Value of Improvements,$ /��. Fee s 7
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
a all other laws applicable to the construction, location, and use of buildings within the City of
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Cupertino will be complied with.
Owner ✓7 Address
j B - �*'h Address I
'CONTRACTOR, AGENT
Phone 7 O Approve
BUILDING INSPECTOR
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42 Y.
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