461 IDX/ s LOT NO.
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NO. STREET
W 401
APPLICATION`FOR BUILDING PERMIT
0 �
° E� CITY ;OF CUPERTINO
s < t IAP, 3 68 �'I/ sanitar} I�tn. /
W Date 196X ermit No.
0
W
O
A lication is Rereb made for permit to
ZLO
story, y
< XxW
to be occupied only as in accordance with
o Plans, Specifications and Plot-Plan filed herewith,,, 1 Ck Fee
Estimated Value of Improvements;$ . 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
2 O Cupertino will be complied with.
3 �
— m Owner �-v� L ' Address
c a By T Address
U PP
Phone 3 7 Y— tf 1 -7 A rove
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State License 11INSPECTOR