2729 (2) I. zits- ._ / I.OT NO.A299
NO. A& s EE � \
® APPLICA`�I o ry R tLDING PERMIT
p ° ?OCT 3 D 1963'` "I'l. F cu xTINo
o a Sanitary No.—%2y—/—/
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F „ Date , I 1 Clt I C±r1,l Permit No.
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LL Application is hereby made for a permit to
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ato a —story,Type '!5 Building
W = to be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
F3 Estimated Value of Improvements,$ . DDD Fee$ .57 -
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z 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
2 0 Cupertino will be com lied with. y�
3 < Owne 1 v ' JA Address -� .!' ..3y
Q a By ,G Address .
a U Phone 2S - Approved
State License /2609' B INO i.SPEC Oa
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