51132LOT NO.
NO. STREET
UI Q
W APPLICATION FOR BUILDING PERMIT
or
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OP CUPERTINO
0 < Sanitary No.
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LL Date ® 1 Permit No.
F
LL F Ap ation is hereby made for a permit to
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zz to aKc y, — Building
< W 111 111V
a3: to be occupie only as accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
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F 3 Estimated Value of Improvements, $ Aow Fee $__ 0,
z J 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
O Cupertino will be complied with.
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3 m Owner sTU FS o U Address ` b ` 0 N ti -M R_V) 01,
rc a By I K Y �t� I Address �Z 7 o LI
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State License p $ io �� BUI DING INSPECT