2866 (3) l LOT NO ',L��
NO. STREET
W z S LPLICWT R BUILDING PERMIT
2Y �� _° ® � L + CUPFRTINO
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0 ' { Sanitars• No. T"/7dmnn
5� FEB 7 10 x;96 Permit No. =2e GC Z_
w LL Date
Io
4 r p I'cat is greby made for a permit tof�'i2
° i`V �.1!�4'ERRN
am a / story, ype /a 5l Building
to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
r "; Estimated Value of Improvements,$ Ze m Fee$ =40-
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, locatiop, and use of buildings within the City of
J O Cupertino will be complied with. /
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- 0 Owne '0! � 'w. a44:242ik��i.�Address A
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W By x Address�l�
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a0 Phone Approved
State License " -Z BUILDING INSPECTOR
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