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PP LIC- TIC FOR
BUILDING PERMIT
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CITY'OF CUPERTINO
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Sanitary
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II41AR 1 J
No.
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Uate o25 196(7-1"Permit
No.
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ApplidtiofL is hefeby- ad'e f6Fi a iit to
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a story, Type
Building
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to be occupied only as
in accordance with
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Plans, Specifications and Plot -Plan filed herewith.
PI Ck Fee X71
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Estimated Value of Improvements, $ off-
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Fee $
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It is hereby agreed that the requirements /of the
Cupertino Building and Zoning Ordinances and
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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 —t
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Address.:2A95[NGL ii..t U1G+i/
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Address LE�
�6ENIff-WICH
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40
Phoneme
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Approved
State License 4S/ _2 1! /
BUILDING INSPECTOR
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