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/"' �-6—/ I �!' 600 7W i 1 O NO
NO. STREET
�� OR BUILDING PERMIT
I CUPERTINO
/ rVII96� rSanitar}' No.
Date1, 196 i 7 Permit No.'��
AppJj jpn O� re� } it to
a lir 1 1 sUtolry, Type l� �y Building
to be occupied only as M kS (E )&)A' -kp t' 3 t dtlIQL in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee `
Estimated Value of Improvements, $ .? U CI 6 v Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied W1 h.
Owner �/ 1//Co P4"� e— Address
By<211 c� u C6 Address/�� �El1J/��e/ ./kJl;
Phone _3 T-(— — 2-01 io
i, State License Z f q L()2 — CH g—
.-,��n�6 ail
DING 1NSI'F CTOR