468 J— TNo.
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W IUIlpK.ICATION FOR UILDING PERMIT
r ° CITY OF CUPERTINO
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APR! 1968 Sanitary No.
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Date / 196 u Permit No.
0
o W Application is hereby made for a permit to '///A..0
i m a story,Type �l/LCG7-/0i -4e— Building
a w
to be occupied only as in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> N0�
Estimated Value of Improvements,S� D Fee$ (0-
iJ 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 will be complied with. �
Owner ES Address
rc a By Address 2_�& /Y, 29- -F
a u Phone �7Sy Approved
State License 13MOINn JNspecr