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APPLICA FOR BUILDING P RMITs ° 16 1965 OF CUPERTINO
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O Sanitary No.
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��Ifl 196_ Permit No.
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4 Application is hereby made for a permit to -o r
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i m a story, Type Building
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to be occupied only as /( �./Y� !� •� in accordance with
0 0 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
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,', "; Estimated Value of Improvements, $� f� Fez .i eF(7 s-
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
J O Cupertino will be complied with.
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U Phon �-�3 _ �Approvedzy
tfState License / m BUILDING INSPECTOR
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