2664_ 1NO.
NO �S ET ('
PL"1 'Ti0 .0R BUILDING PERMIT
�� EP 3 D 1963CII�F CUPFRTINO
G'� 15 Sanitan No.
Date T IItlU n Permit No.
t ,o��a c c
o A I c. tton Is hereby made for a permit to
-tT
i m a story, Type Building
a w
to be occupied only as
oo in accordance with Plans, Spe fications and Plot -Plan herewith, c
> ; Estimated Value of Improvements, S , O O Q Fee $ /O l3
o a
z J 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 will be cora,}"Uted with.
3 i- XOwner �. F'.V. Gwe5 KAddress I&KIAPeV V tW,(�gi/f
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, a "y P'1•�tl. 1JIck�D/:.i'„ytat�i XAddress&
a U KPhon r I — Approve
xState L icenSe /� 7- JZ BUILDING INSPECTOR
Y FOUNDAAT ONeiu
Y UNDERFLOOR
w�
OF INSPECTION ROVAL�
DATE. INSPECTOR
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