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A �T I O_-,',,FOR BUILDING PERMIT
0 CITY OF CUPERTINO
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o Sanitary No.
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W Application is hereby made for a permit to
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z In a story, Type coy-ef Building
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to be occupied only as in accordance with
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_j 0 LL Plans, Specifications and Plot -Plan filed herewi�b. P1 Ck Fee
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Estimated Value of Improvements, Fee 3—
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* _j It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will be complied with.
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By Address
< 0 Phoneme 7'? 7-0 Approved WILLIA-.A r), Qj_j,
State License BUILDING INSPECTOR