100164 NO. REET
W a TtFEB
�A` PL`I,C�,TION FOR BUILDING PERMIT
o �' i OF CUPERTINO
0Sanitary No.
14 1968
i W Uate - - I96_ Permi - No 0,06
� o
W Mylicon i�}yefpp made for rmit to `
i In a story y
� W �
to be occupied only as in accordance with
20 plans, Specifications and Plot-Plan filed h with P1 Ck Fee
Estimated Value of Improvements, $ Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will beeccomplied_with.
3 Owner'�'l Address
a a Byc t� �� Address
is o Pho a o`-'
—U B APpr e
I State License / '71 BUILDING INSPECTOR
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