51075.4 (2) ,NO. S
NO. STREET
w ¢
LL
7okFOR BUILDING PERMIT
OIF CUPERTINO
o FSanitary No.
LL EB 7 1968 Date Permit NO.
o
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o ~ A er �I 6
a mit to
< l� ply
i N st pe Building
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to be occupied only n accordance with
0 0 Plans, Specifications and Plot-Plan filed erreewith. Q�I Ck Fee ISI.2S
� "; Estimated Value of Improvements,$ 7X/. DDo Fee$ 9b 2. S6
i J It is hereby agreed that the re egg th pertino Building and qR QrdiWa and
* Z all other laws applicable to t st I a ' buildi46Yt�S�tI1V 6Ry of
J_ o Cupertino will be comped wit (. -/2•/p�
3i
Owner. Address
a a By `Lr/// A_dd ee 7—
i o G Phone
_U Approve
nseState Lice / BUIL G INSPECTOR /