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W / p AP 1 FOR BUILDING PERMIT
/MQR 6 �9 + OF CUPERTINO qq �J`
o < Sanitary No. V�_
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W LL p,L Tv t�mr-ni��.ra 196 Permit No. Q
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'o :- Application is hereby made for a permit to .r.r.
aV) a story,Type— ` 't•r x;'Y Building
ato be occupied only as
0 o in accordance with Plans, Specifications
and Plot-Plan filed herewith.
0 ; Estimated Value of Improvements, a Q Fez$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, locatiop, and use of buildings within the City of
o Cupertino will be complied with.
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Owner� Address '
a n By V• 1�J4'ryu..-e-• Address
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Phon Approv
State Licens Ut 1 PECTOR
92
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