2287 (3) / - • a - -LOT NO.
NO. S �
w A r_L-C-1 ON N FOR BUILDING PERMIT� ��t/63
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0 OF CUPERTINO
3 < IMAY , 41963 SaniiaryINo. 2 1
i Date , 196_ Per t No.
°o �' �pYtcatgp Is he y, or a permit to
a I _ LL//
a a a story,Type /�- /7 '�/� 7 Building
r to be occupied only as
0 o in accordance with Plans, Specifications and Plot- Ian filed herewith'
3 Estimated Value of Improvements,$ ��. Fee$ /D3 —
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
2 o Cupertino will b complied with.
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_ W Owne Address/!8� _ 7-�
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Phone E6 Approved
State License /� �/ .P 1r�� BUILDING INSPECrOtt
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