469 ANO. STREET
WG V A LICATION FOR BUILDING PERMIT
r o CITY OF CUPERTINO
o < AP r �9 Sanitary No.
s U I '+gip 9 p
w LL Date �� F r 196.SZ p�Permit No. 6�
0 w Ap licafion Is)hereby made for a permit to h Cl/LP rX
oa /
i N a story,Type D/2�2�T�CN/�c, LCpl✓ Building
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to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee �_.__
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� " 6
; Estimated Value of Improvements,S �� D Fee S
i 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 0 Cupertino will be complied with.
3 cuy SiGrrJ
_ m Owner -t(ZZ Address
W n By �— Address6 ��uST S
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Phone Approved /
State License BUILDING INSPFG�j