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b Q NO. STREET . ' 't .• / /6.6Z- c_
w i .PL TION FOR BUILDING URMIT
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o OF CUPERTINO 4�
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M30
a f Sanitary No. �'�
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Dat WT Permit No. 4// 77/
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.. r Application is hereby made for a permit to
i a W QF,X�T��I f1 S
a 9 .YP_ t Building
to be occupied only as in accordance with
00 Plans, Specifications and Plot-Plan led ILSTt�ro - PI Ck Fee
Estimated Value of Improvements,$ L- 33L- e+�'�--or? Fee.$ gTSn
oa �{�U
z J It is hereby agreed that the requirements of the Cupertino Building and ZorimR L7rdinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will be complied with.
3 N Owner o��-- Address 22P5- �e /
Address S
a 0 Phone Approved
`d" State License �5/7r// BUILDING INSPECTO
44
NOTICE OF ADDATIONA * CHARGE
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PPRTIN
L
® L N ,r•�`rSYP.CTOR'S SQ 171CL
Date ...... . . -.. _ �S' . 19./..4. Permit No. ..J�..... .._7
� 1/r6`1910 ..............__.
To .......... ... .......fs, �h..._�
'
Address ...
Reason .0 .� C { a 2 7
J
- � �f �
modnt$ 7..''.."�. . Signed ..`14.... us!.,. y.,.,�..i........................
/" 6-3/59-300 1,