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APPLICATIO FOR BUILDING PERMIT
o o r—� CITY OF CUPFRTINO
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Date JJp
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Permit No. Si
i 977
Ap WinUb�e iG 7•
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iu� a ^r�n T�ory�T e � � Building
to be o
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optein`accordance with !i
o'o Plans, Specifications and P t-Plan filed herewith. Q.0 Pl Ck Fee
Estimated Value of Improvements, f�e•000 Fee S g$ IV
i < It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the const tion, location, ani use of buildings within the City of
d o Cupertino complied with.
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— m Owner
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< U Phon Proved
State License BUILDING INSPECTOR
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