51145 (3) LOT NO.
NO. T
` 4 N FOR BUILDING PERMIT
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g ® ITY OF CUPERTINO
o MAR 31 66 Sanitary No.
SV
i Date 196 Permit No.
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CIT4PPl[ iolUlJ>gt r a permit to/
i N a story,Type Building
to be occupied only as f//1� /L Fig eO4!fGLI�� in accordance with
i o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, Sau�/c02 Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino willbe complied with.
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Owne /o .� 4/ErelME.Y1� �Y& Ad ess
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_State Licens BUILDING INSPECTOR