285 /00 / LOT NO. �8r
NO. STREET
w Z ® -AP. LIGATION OR BUILDING PERMIT
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r ° ITY OF CUPERTINO
2 U Sanitary No.
w, Date . DEC 2 965 196_ Permit No._��
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W A cat is h permit to
am a story,Ty
to be occupied only arda e with
o'o Plans, Specifications and P-1-0(Plan filed herewith. Pl CIL Fee
I- " Estimated Value of Improvements, $ Fee E
zJ 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
J O Cupertino will be complied with. "LQ- a p
_ ,a Owned Address q c,eFci�
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�PFe�-� SIGI r-S/c. Ad Je l N{Ac- /t4/&-
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< Phone��`1�— y Approve
State License - BUILDING INSPECTOR