481 LOT NO,
NO. S ET
W AP LICATION FOR BUILDING PERMIT
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r 0 C. W. CITY OF CUPERTINO
T _
0 J Sanitary No.
W o Date—APR196_ Permit No. T��
4 W A licat I hereb made forma ,permit to
o PP 1' LA 11� �s�Y / o
i m a story,Type 'Blrilding
r to be occupied only as � ^ ' - O ��—Q ,�in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, $ I U u
d Fee$��°O
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zIt is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws appliable to the construction, location, and use of buildings within the City of
J 0 Cupertino will 1�5 complied with.
< efli? '�4 Address
_ m Owner
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W By Address
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A roved
State License BUILDING INSRF.CI'OR