51181 (3)p�SYO�I(/%///� t.or NO.
NO. STREET
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W Z BUILDING PERMIT
r ° C UPFRTINO
a 2 1968 Sanitary No.
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_ ,� Date 196_ Permit No.
o App&f(Y is@freblG0PTj Pit to
a ifii,� story, Type t//1//J/lii V Building
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to be occupied only as . i`i� in accordance with
20 plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
> ; Estimated Value of Improvements, S .Vel Fee; e6W.
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z J 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 will be complied with.
_ y Owner Address 1
W a By Address
4U Phone (�/ Ate.
State License ,��� PP BUILDING INSPECTOR
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