51075.1 OT NO.
NO. STREET
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Q �4PPLICATION FOR BUILDING PERMIT
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OF CUPERTINO
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<' Sanitary NO.�-u
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Date
AMOV 3 n » 96_ Permit No._ /�/a 74 ,
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o Ae lllcatioCn is(here(�by made for a permit to
<a a Cil 1 Or stbry�T�nel l ��t d Building
to be occupied only as accordance with
0 o plans, Specifications and Plot-Plan filed herewith: PI Ck Fee
"; Estimated Value of Improvements,$„Z d Fee$3 0�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to t nstruction, location, and use of buildings within the City of
O Cupertino vie complied wit
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- Owner Address l 'moo +�w
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W a By4%,, Addre
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< o Phone "�
-0 a r 2 - Approve
State Licenset -e�,' L� DING INSPECTOR
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