51145 OT NO.
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® C N FOR BUILDING PERMIT
r o (JUL �B ITY OF CUPERTINO
a
o 19 Samtary No.
SV
_ „ (UraTte�/ — – `r T�N(� 196_ Permit No.
oC1 1 p Etio 41A21�4or a permit to �!` 1�F
a
i
in a d2h F story,Type
Q Building
to be occupied only as /t '�f��*n in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
,'_ "; Estimated Value of Improvements, 5 o2 0/,000 6L Fee Fee$ YL9 S-o
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J , all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be complied with.
OwnerX/Ag/Z�4t`-'e< rP Pefrrro Address
W a By�1�a. �/ JZCt.+ Address
0 Phone 3 O Approved -�-c
\1 State Licens d i ING i.....CTorr
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