51114 I.Or NO. /60
NO. STREET
z APPLICATION FOR BUILDING PERMIT
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Y ° CITY OF CUPERTINO
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o Sanitan• No.
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Date '� 196,( rmit No.
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LL Application is hereby mad or a permit to
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i m a sto y,T tiding
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In.be occupied only a _ a ce with
oo Plans, Specifications and Plot-Plan filed herewith. PI C� e
> "; Estimated Value of Improvements, S �S'OD�
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construc on, location and use of buildings within the City of
o Cupertin .will be compo with.
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—0 Approv
State Licen
BUIL 0 INSPECTOR