479 NO. STREET
W �AP!VFATION FOR BUILDING PERMIT
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o CITY OF CUPERTINO
9 < 196$ Sanitary No.
W u Date aPR 2 4 196_ Permit No.
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o Applical?oA Hereby made for a permit to
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to a story,Type
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to be occupied only as / In accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> ; Estimated Value of improvements, $ '/0 0 c_' Fez a 7
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will b complied with.
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— 0 Owner G Address
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a ; By Address
<U Pone 2 _ Approved
/L State License BUILDING INSPECTOR