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�LjtT FOR BUILDING PERMIT
6•.11
OF CUPERTINO
� Sanitary No.
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Date p , 196 Permit No. _ _r11 -7,
C1�MYIcOr it permit to Cetl
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a story, Type !� (
QZ 6 �M%N �i �Il Building
to be occupied only as 0190J Q'yc/_'o in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ 3Or) Fee $ O
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 with.
Owne r Nje)(AL4S TaH IJ C- 'i Address_
By C'3 - Address
Pho e ���0(Z Approved WILLIAM D. BENEVIC-f
State License BUILDING INSPECTOR