NO PERMIT NUMBER (3) (671
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�? I.Or No. / ,U
w i APPLIC'ATIOWF,OR�B,UILDING PERMIT
Y ° PAPR C+y680P CUPF.RTINO
0 , � Sanitary No.
sss
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W Date 196CG Permit No.
o W Application is hereby madetfor a permiI, ,ro)
a
i a a_��story,Ty e Building
to be occupied only as n accordance with
a
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, Sj, Off. Fee$ h�
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
O Cupertino ill be omplicd ith.
3 H Owne 9 Address -29
W Z
By Address
<U Phone s —���j�� APProved.NILLIAM D. BENEVICH
V State License /� Z9 / BUILDING INSPECTOR