51192 (3)OT NO. /�4
NO. STREET20
3 I�rTI FOR BUILDING PERMIT
To o �ies� ia,� OF CUPF.RTINO
a 7 Sanitary No. 3
W Datef. �� 1 68
W Datef.6 Permit No..'S��
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LL atiop hC rmit to
o a V� U
i m a story, Type _s> �— s Building
aW
Nt be occupied only as n accordance with
00 plans, Specifications and Plot Ian filed herewith. oa PI Ck Fee
�; Estimated Value of Improvements, $,z2 DOD _ Fee $
oa
z J 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.
_ Ownere LL {S Z G • Address S/%/yvv *xle—
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e u By /ter �+ , % �. Addre
a U Phone 7:;Y_1z14_ / --_ A
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�1 State License BUILDING INSPECTOR