51187 (2)�3
LOT NO.
W Q )'y -PPL-1 FOR BUILDING PERMIT/&/'y
a MAR u 9 1968IT 1 OF CUPF.RTINO
0 5 Sanitary NO.
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Date 1966 Permit No.
4 II-
" Aplv plicationri`s! hereby ! `'de for a permit to
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i w a it story, Typ 5 Building
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to be occupied only as in accordance with
o`o Plans, Specifications and Plot -Plan fil d herewith. J PI Ck Fee
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I ; Estimated Value of Improvements, I dodate) Fee $ %/3. FJ P>
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino s II b complied with.
_ m Owner Address CYC'
W a By Address _&z� �Geu s
uE o%5/S�-o1�f/Z> - —
4 U Phone Approved WILLIAM D. BGNMC:H
State License / `� ( License / `� ( / 7 / BUILDING INSPECTOR /
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