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APPL'ICATION FOR BUILDING PERMIT
CITOF CUPERTINO 4166-6EC 21. 1965 � Sanitary No.
U��I '' .. FG 'JL196r Permit No. S-// 3'�-
Applicatton iLN rel: df a permit to --r,
astory, Type S L T l�3 .54"9/✓� Building
tip be occupied only as�Q fYn/ALF_ .��rr i✓ �i=L/ysin accordance with
Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $. %" Fee $ 759*
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 w II be complied with.
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Phone --23 ?-C-
State
-CState License