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BUILDING PERMIT
CI F ERTINC 5 07
/JAN 24 !68 sanitary I.o.
Urate Permit No.
T
Application isyerFS m8ca� @ t /CC��"
a !ae- story, Type l G )1 Building
to be occupied only as 1 11 c,/ 11� X—_
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
in accordance with
Estimated Value of Improvements, $ %! '24W � Fee $1y�D
It is hereby agreed that the requirements of the
all other laws applicable to the construction, loc.
Cupertino will bfomplicd with.
Owner
Phone
State License
Building and Zoning Ordinances and
use of buildings within the City of
INSPFCTOR /
V"