100023 l� io3o/ IH,�•y 9 .� �b
LOT NO,
No. STREET
W n UP KP CATht N FOR BUILDING PERMIT
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° ITY OF CUPF.RTINO
o
a _
�ya���1pT 'L�68 Sanitary No.
Fo U;it nn, 196_v Permit No.�,�
4 w lic�on WljdnR'.V�t (Oa permit to0 .
i r0 a t s ory,Type- �""in aai a / Building
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tube occupied only as �/��/ «" ��^ �� in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee 74M
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Estimated Value of Improvements,$329-5 — . Fee$ AT CP
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 0
h Owner <s• —s��i" ���� Address /D�13/
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a a By ��• Address �323s �. A
Oa. O0.`O ar'qq
< 0 Phone Approve D, W'EfYEVICH
State License /� �� �� BUILDING INSPECTOR /