51169 (5)mss- d.t��.- �P ���
NO. STREET 61 /
`CATION FOR BUIL( ING PERMIT
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o CITY OF CUPERTINO
CLL
o < " Sanitary No.
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w LL ,t�MAY 2 g w196
� /Pej/it No. IJ 116-190 aC' 1 1 AppCI cats on iiss hereby made for a permii o 0_�/��/ � � C- —0,
z NN ay1 �/�EE�R� Building
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to be occupied only ain accordance with
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0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
F; Estimated Value of Improvements, $ .20 0 rte" Fee $ a" 2-2
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z J 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
J o Cupertino will be coLuDlied with. /,/ Q
3 m Owner X/� Address/0'4'a5_ -5e /'�'k7y
a a Byv +sc=z-4 /rte-�Q�/`+t Address 4 ' /f&�e i�
a 0 Phone Approved
State License - eunoiNc trrseeo"oR