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iiPL-.ICWTI0WF0R BUILDING PERMIT
CITY_. OF CUPERTINO
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Sanitary No.
Date \196—Permit NO.—
:
Appli�caiion�-i's--her&g�-:M'ad-8 for'd Permit to
—
a story, Type Building
to be occupied only as 1eE7-A11_ in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
00
Estimated Value of Improvements,$ 133 . con-, — .. Fee
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be cornpli d 965 0'ecl'11.6 'k44Y
Owner_�, C Acldres.� --f—.4111 CA-1— ,
Address;; 10 2 JIB 0
tNLA�se
Phone fif!7. .0 A pp'o
State License
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NO. REED
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o a pTp �catQr�t-is 1 P a�a)permit to
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to be occupied only
o Plans, Specifications and Plot -Plan filed herewith.
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F3 Estimated Value of Improvements, $000
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It is hereby agreed that the requirements of
all other laws applicable to the construction,
Cupertino,jill be complied with.
Owner/C�C.t//t�✓J
a. ®Tij ,
By
Phone
State Licenses �7
the Cupertino
location, and
�A
anitary No.
Permit No.
1 AR Building
An cA�h�
®Pl Ck Fee
Fee $®
Building and Zoning r mantes and
use of buildings within the City of
Address
Address V/Irw AL-fF
-- e
Approved'
BUILDING INSPECTOR