51006 8a�
io 72g I �)'-Ep D2 I.OT NO.
NO. STREET
3 = APPLICATION FOR BUILDING PERMIT
Ea
r o CITY OF CUPF.RTINO
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O � banitar\' No.
5 -file 7 G ,-/0 0
ILL Date 196_ Permit No.
o
LL Application is hereby made for a permit to
oa
i m a story,Type Building
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w to be occupied only as tbkTi(i LF SE16N f OaL 32y„ X 4 in accordance with
o o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
F "; Estimated Value of Improvements, S '400 Fee$ A10•(•�—
ia
J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws appl' bl o [It construction, location, and use of buildings within the City of
d O Cupertino will b {'Y d nh.
3 Ownet- - Address
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a By Address
07 s73i
� Phonr a- Approved��l i
State License BUILDING INSPECTOR
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