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3954 LOT NO." / 3 _ w Q AP FOR BUILDING PERMIT ° MAR 6 19G4 � r OF CUPERTINO ''jj CLL Sanitary No.v'� O J a „ Dom+—••—.�� `�:•••—•-- •- 196Y Permit No. Q = o /��y o W L Application is hereby made for a permit to &C, • _ a �U) a _story,Type / Building w to be occupied only as a 00 in accordance with Plans, Specifications and Plot-Plan filed herewith 0 ; Estimated Value of Improvements,$ .2600 7 Fce � �0/ iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of J o Cupertino will be compiled with. 3Q _ m Owner Address W Z ^ a a By �+-� Address a 0 Phone —S0 `3 - Approv d �j� State License �� B O INSPECTOR Qm F v u u u u u y w m w w w w Q; ac 0 � .F � 1 F OC O x W W' R O • e W