51126 /Oas 7 (Ud� �m `�
IAT NO.
NO. STREET
W iAPPLICATION FOR BUILDING PERMIT
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o CITY OF CUPERTINO
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o Sanitan' No.
5 a
U 7 196�- Permit No. � O
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01
Ap lication is hereby made for Per
to-
Or
o r r
a
to a� s ry, e r � � /Building
ito be occupied only Ri�rt♦�c'e with
00 Plans, Specifications and Plot-Plan filed herewith Pt C ee
Estimated Value of Improvements, S FAQ ' Fee
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
J 0 Cupertino will be complied with,
NOwner ress_s �
a a By ���cy�.�'o.,6-�SAAd
07 r
Phone 2 S3-/ 5/G L . Approved
- --State-License' �r -o. -e,•-.- - - a rowc_INseecron_ __ _
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