51179 (2) 1O NO.
'NO, STREET
Z ' 1 7APPLICATION FOR BUILDING PERMIT
IX
o MAY 7 1910 CITY OP CUPERTINO
0 , Sanitary No.
30
F!`IIQat _, Iqge�f2 Permit No.
o Application is hereby made for a permit to
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a N a story,TYPe Building
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to be occupied only as �`^' l_.r+-�2�/ in arm dance with
0 'o Plans, Specifications and Plot-Plan filed herewith. - Pl Ck Fee
> "; Estimated Value of Improvements, $k/J-0 Fee$
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, location, and use of buildings within the City of
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3 m Owner ��.i�h✓ Address
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State License - _ING INSPECTOR