51181.6.l"z /l/l A/� LOT NO.—. �`J
/ NO. STREET
N a P TjDll OR BUILDING PERMIT
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(NOV � % I LY Sanitary No.
= LL Date �l�U. �� �S7 l s Permit No. S
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to be occupied only as in accordance with
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0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
F3 Estimated Value of Improvements, $ G Q Fee $ t 0 0
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* 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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State License �.��%�� B G tNSYFCTOR