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1� 3/ I e��-h�.-I'�-211� IOT NO. I G 8
NO.� STREET
PL[I R BUILDING PERMIT
h O PF.RTINO
Sanitart• No. r
Date 6 - QUN 2 0 196A96 Permit No. J 11 % I .
Applicat ft,iF}ter�t�lb rapermitto
a Ilstory, ype_ Building
to be occupied only as 4 2 - 6ci-U-5— in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $ 3 I-01-0 _ Fee $
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 will be complied with. _
Owner ��%r�� ��!>/'pfd T AddressZ/'3�,7 �T "I /fc,V"
By Address ✓V L,;;/• 74' 27 -
Phone S%li J % Approv,�VILLIAM D. BENEVICH
State License / 33/3 BUILDING INSPECTOR