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I FOR BUILDING PERMIT
r o C 1 OF CUPERTIN
0 7 ,,AUG 16 1965 njtaa,v No.
i [pTln'/1�96_ ermitt No. �� �•
F o 5db�lkatb4l is hbtl��11�8A MASJperWIN
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oQ
Q N story,Type I Building
ato be occupied only as I 11 O a h
0 o
Plans, Specifications and Plot-Plan file�¢rerewi PI Ck Fee
> "; Estimated Value of Improvements, 3 Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
JZ all other laws applicable to the construction, location, and use of b Ings within the City of
d o Cupertino will be ied ww
3 X &Y t-l- Address
Wiz
m Owner -
I Ad
a a By X Address
C Phon '2r'j-�i8'9 A )pro
State License a►ea"%Ift UILnI wsvEC R
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