51022 NO. STREET
w i APPLICATION FOR BUILDING PERMIT
r O CITY OF CUPERTINO
0 LL
o a Sanrtary No.
SO
i LL Date 196_4� Permit No. �rl 402
0
�. Application is hereby made for a permit to01
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i to a story,TYP Building
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W z to be occupied only as 41`4rdance with
<r�' ••0,4 Plans, Specifications and Plot-Plan filed herewith. Pl Ck 4,
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F; Estimated Value of Improvements, $�� Fees
i 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 the City of
o Cupertino will be complied w'th.
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_ Owner Address
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a By Address
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a U Phon — Approved
State LiceILDING INSPECTOR
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