284 v
JI �cae., LOT NO.
m NO STRFF,�T /
W ICATI 'N FOR BUILDING PERMIT
o ® 6 OF CUPERTINO
< (DEC 2 1965 Sanitary No.
s� G
Date . 196_ ermit Ao. aO
ro
o <
G`At$�lica i Is i �e��r� Permit to
i in a story,Ty B Ilding
< W
ix to be occupied only lance with
ii 'o Plans, Specifications and Plo I filed ewith. PI Ck Fee
> ; Estimated Value of Improvements, S Fee$
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
o Cupertinowillbe complied with.
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Owner .9 Address
N L _P
W Z fO C�C/VC )/[i/rt �L N/LL �'r"�I
a By t� r._ ,ria Address / —_R Mr/U <-
<U Phon APProce
State License B DING IN /
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