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OT NO,
NO. STREET
APPLIC;i4.T10.N FOR BUILDING PERMIT
r o S C11196
OF CUPERTINO
o Sanitary No.
Uate 2$ 196a Permit No.
o
Yo
) a pplicat ion is
heric�H U� rermit to /�t/,7%.4G< hA7'in f1G✓�/✓
< } YQ�story, c. si��.Fc Bui
Tlding
to be occupied only as /JYI �f�Nno) n accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
m Estimated Value of improvements, S i� Sao•%
> 3 p Fez; d.
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino will be complied with.
3 �
_ N Owners PFl+< SNFA _ Address /dS/ FY/i1RUlP,/R•
W a By* 414rOo sl<ua da c, Address /(u APA✓FDA 5'P.
os
`U Phone Approved
State License - A117— PO/ Bortmrvc INSPECTOR /