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_R BUILDING PERM
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o O �COOF CUPERTINO
° No.UN 28 1965T 16FPermit No
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LL F /1{{gQic ���ttt111 i rmit to
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i N a s y p tIldmg
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to be occupied only (ewith
00 plans, Specifications and Plo Plan file ,th. pi9 PI Ck Fee
F "; Estimated Value of Improvements, $ Fez$
°z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location, and use of buildings within he City of
d o Cupertino v '�/be complied
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_ m Owner - Addre
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Q a By k Address
a U Phone ur o7 G �o '/2 Approved
�Y State License Bull IN INSPECTOR
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