51181 (2)i lj ai r�1 & I OT NO.
NO. STREET �� 1
w ¢ rZmAPPL'I''C TION FOR BUILDING PERMIT J
£ ° �J� CITY OF CUPERTINO
o Sanitary No. 43/14e
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= o Date-_ N/��2 6 67 %. 1967Z Permit No. :K-11
W W A li atio s e c made fora permit to -
° < CIT �r t�PpnTIN0
i
On astory, Type /� Building
to be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Pee
Estimated Value of Improvements, S 'f Od Fee $
i J 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
J o Cupertino will be complied with. RITZ -CRANE
3
Owner Addr ss !t'
� 1 a e M1 n e1 vn
N / _ _
W a By //�-.�'//-sl�l/6i- 7- 'n' '-' 4RA, CALF. 95n[+0
0Phone — / APP rov
State License 9/ N45ING INS
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