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NO PERMIT NUMBER �OM/ NK SARI+-ToGK -Sid uc;'•IIALI� 7� D. LOT NO. NO. STREET CITY OF CUPERTINO f� •� w 2 c CY`•£ Yo m o% 13APPLICATION FOR BUILDING PERMIT pLL `\`` O-t V` Building Per.No. Wo Date 6 , 7g� Sanitary Per.No. �o ApjIPcatrion is hereby made for a permit to cu - e C Lr . oa_storY, TEXISTICrSIt>L1 ► >F Type Structure Z H to be occupied only as C aeo in accordance with ww a F Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee$ I J 2o Estimated Value of Improvements,$ 6" °4 Fee$ >y � o a Total Fee$ L'L z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances Z and all other laws applicable to the construction, location, and use of buildings within 3 a the City of Cupertino will be complied with. N ww owner -rDnDk/P;N$ Address SAPN i0('A-S01UrLyy/I ao By /=EDC,2vL Z516-vsAddress �S Ji 7'4kl /.t//j'G�!/C= /'�D' U Contr.or Agent. saw Phone 2912 -r)9';-_(o APprovetl _ LA State License .7/ 7 7 °3 D 4 Building Inspector