51181 (2)rry�
ror No.
NO. STV
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BUILDING PERMIT
24 � rUPF.RTIN0 ria
Sanitary No.
Date 1��� �� 196 Permit No. `5711 k1
D�pimi
tApplicCs Cy H 0
a � story, Type Building
to be occupied only as ljz_�e in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee �
Estimated Value of Improvements, S Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner Address
By
Phone i%J'/(/�� APproved
State License