51118 LnTNo.
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NO.
w N FOR BUILDING PERMIT
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0 OF CUPF.RTINO
oU vAR M 4 1966 Sanitary No.
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Date [[ ((������pp '�f(��'((��. 196— mit No.
'o a CITypIOGoni�i4tHFe tlt:�t�'r a permit to _
=N a story,T pe Building
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a ,a. to be occupied only a QtOStnce with
00 Plans, Specifications and Plot-Plan filed herewi[ah, Pl Fee e
F "; Estimated Value of Improvements, $e�Ch f) r Fee a
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
o Cupertino w'I/ I be comp^ h.
3FQ/ - _ AddressN _
W z Owne
w a By rI P Ad ress
U Phone 7 Iry/ Approved '
'BUILDING INSYECT00.
�� State Licens��"�`�-4-�����
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