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W Q WPLICATIONIIFOR BUILDING PERMIT
r O 19MCITY�OF CUPERTINO
o i APR Sanitary No.
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Uate -- 1.96_ Permit No.
10
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W W Application ts'fiereby made for a permit to
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i� a story,Type �4e
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r to be occupied only a ordance with
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0 o Plans, Specifications and Plot-Plan file4gerewith. O8 PI CTF$!��
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1', ; Estimated Value of Improvements, Ste'' . Fez S
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
J O Cupertino will be complied with.
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— � Owner - To U G G i Address
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�� Phone 37�//`F1Q3_� APProve
State License ` / BUILDING INSPECTOR