440 /oy»� lo, wr,/X'V'- y3�
LOT NO.
NO. STREET
w APP A. L. N FOR BUILDING PERMIT
r ° i CUPERTINO
o a Sanitary No.
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_ Uate q 7, 19 Permit No. 4*40
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4 w Application is hereby made for a permit to ��--
a N a fO[Y�iIYPSr/ 1 �p /B-ui/Idmg
to be occupied only as��2�-r-! J T� C, n accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
3 Estimated Value of Improvements,S ? Q c� Fee f y r
iJ 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 with.
3
Owner 06- 11 Cf) PA-kA- Address
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W a By��rt� �� 7l C—~ L, Addres ' !CG A) P Y �{Ub
3SG- 2U1
�U Phone Approve apa
State License 1 f C)9 — C �( $ TW! INSPECTOR
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