NO PERMIT NUMBER (3) LOT NQ ��
NO. STREET
wA_P LP ICAT OWFOR BUILDING PERMIT
; ° CITY, CUPF.RTINO
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5 KPF Sanitary No.
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nw Date ,
Permit�No.
° Appcation�i'herbymadelfona�permitto
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im astory,Type i Building
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to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
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Estimated Value of Improvements, S 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
d O Cupertino ill be omplied with. -
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- a Owne `(/! -P Add res
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a u By Addres ter.
0 Phone-c-)s.--) —0'2l ':u-5 Approved WILLIAM D. BENEVICK
I State License BUILDING INSPECTOR
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