51145 (4) LOT NO. A
X0 NO. 7aET,
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W �AtP_P_L•IC�TIb� FOR BUILDING PERMIT
Y 0 �I t OF CUPERTINO �j j
O a IN VV 16 1965 Sanitary No,
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W W
LL Uate 196_ Permit No.
o GRICatUiis"ERT tOpermit to A� 7—
6 I
i In astory,Type Building
a ? to be occupied only as /E e&5 4LG Pe;4g lz-V A in accorrdip cc with
00 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, 5e2ee-tgo Fee$rte'—
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
J_ o Cupertino will be complied with.
_ m Owner Address
aBy Address - sY �✓� '
of
4U Phone Approved WILLIAM D. BENEVIC14 '
fState LicensL�9�dG,r� BUILDING INSPECTOR