1977 /Ia S7� V SLOT NO.
FSEP
tA�PPLICeAT FOR`BUIL NG PERMIT
6 01962 .OF CUPER O
2No.. Ifra
Dat 9—IF 19� IRimit 11CIVica nis ere a or a permit to
a stor T eY. YP Buildin s
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1` to be occupie only as
in accordance with Plans, Specificatio Plot-Plan fil herewith.
�. EA
Estimated Value of Improvements,$ �, Fee$
It is hereby agreed that the requiremen of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
a Cupertino will be complied with. --yI
Owner
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i By���� Address
CONTRACTOR, AGENT ';, y,
Phone L 3—O SOd � Approved
BUILDING INSPECTOR
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