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51003 (3) ST NO, STREET �- w ZCATION FOR BUILDING PERMIT r o F ITY OF CUPTINO M F-R ' QSanital No. WPR 18 196_ Permit No. %9' OC31 = 0 h � o W Application is hereby mad for a permit to z� GST QUPggTJNQL..t.A ©rte ��la � 110ftilding 1 to be occupied only as �'� X 7m ��LA"LM:�Tp�$ordance with 0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee "; Estimated Value of Improvements,$ Fez a 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 d o Cupertino will be co lie with. ` 3 � _ N Owner Address lQJ�+ w Z — f a By x v • Address OX < or —aY9} _U Phon App ro State Licens N L (�� BUILDING [NSPECI'O