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TPtI I' ,N FOR BUILDING PERMIT
O TY OF CUPERTINO
�LL !OCi 10 1963
o a ' Sanitary No. ��
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w I, Late
yT o �' 19(r Permit No.
LL C I A�pliQon h ere y made for a permit to e- dP4
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'z In aI_ story, Type J 11S , n� ,r is 3 " Building
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a to be occupied only as tYiY9eG !".rwyi� /�LIiC��iYe S'7r55Y
0 o in accordance with Plans, Specifications and Plot -Plan filed herewith.
3 Estimated Value of Improvements, $ /DdD ' Fee $
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
3 a Owner440"4ZW Address . U ' K_
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State License e! .Z7 '57 V EtWtDING INSPECTOR I
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CERTIFICATE" �1
tom BUILDING IN!
101 CITY' OF
Date ............ 19....
The Building Located It --------1.1... K ...`4
Owned by ---- -------
Has Been
102 7/63-500
Use As:
OMPLETION
OFFICE
-rmi I t N..