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w = APPLICATION FOR BUILDING PERMIT
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4 G OF CUPERTINO
sj Sanitary No. i
i 4 Uate Permit No..
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OApplication is hereby made for a permit to 6�;/� ri"it. P.-
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i to a fory0WFn 3a `�' /o X /P a Building
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I to be occupied only as 4p:a , jPa&o- in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Pee
Estimated Value of Improvements,$ 2 co.n o Fee$ 36
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
O Cupertino w I be complicd with. /
3 OwnerQ ZJOIq� Address 2�G
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rc a By Address
< 0Phone .2.5" -73/9 Approved
WILLIAM D. BENEV
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}\r� State LIC[n$e BUILDING INSPECTOR ✓/