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LOT NO.
NO: STR
�. .�_,-MEET
W
APPLICATION FOR BUILDING PERMIT
a0
LL J41f'! 1 1968 C— CITY Or CUPERTINO
5 a 1q Sanitary No.
196 Permit No. �S ?
'o Application is hereby made for permit to
iIn a story,TYPe _ a p� Building
to be occupied only as MA I $1Gt4 CRUORin accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $ )10 Fee$ .�.b
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to.the construction, location, and uk- of buildings within rhe City of
J o Cupertino will be complied wth. �7
< LL FR1C
_ m Owner R Address
re a By Q' - Address �� AL�Q N1.V.
U PhoneS b _'� 40L
l 4611 Approved
State License BUILDING INSPECTOR
2