51064 (4) No ��. tr Lot No. 79
f® `""" APP ION FOR BUILDING PERMIT
�l J U N 2 8 1968 City of Cupertino
Sanitary No.
-J Date , 196_ Permit No.
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3 _ a Type Building
W to be occupied only a in accordance with
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Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
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s Estimated Value of Improvements, $��OO Fee$
0 o 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
Cupertino il
wl a complied wilt
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.3 m Owne IK4a Address
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ro o Phone�'js"� .f/if�Q Approved
State License -buifilft Inspector /
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