51114 3� f0/U3y I DJr=nN116) ,1 Akre
�ry 16)T NO. �s
NO. STREET
w a ® lV ISO OR BUILDING PERMIT
, a
CI F CUPERTINO
0 < IFEB 14 1968 Sanitary No.
5 � BRuig2
Date I96_ Permit No..S-III Y
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n � A ITc io��he� ciRf�f9lCrmitto 27Md'
o < "Y1In
i In a I story,Type_ s 0. m - CC�F� Building
< w G n
to be occupied only as P[ w ''lam J�'( l G in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee at
Estimated Value of Improvements,S ,/ed6 e— Fee$ r:�
zJ 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 complied with.
3N Owner CiEORE�E 13F}aC644 Address - 4> DEN/Soh/ Rte_
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a i By Address
u Z a$7 - 5'6�'
< o Phone y Approved WILLIAM D. BENEVICFF
1 State License BUILDING INSPECTOR /