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FOR BUILDING PERMIT
r ., OF CUPF.RTINO 4[, y 2 19661D Sanitary No. �`_�_
m LL Uate L��/�a 196_ Permit No. d/2 0-2 7. 7
`o w C0�licQFn I Wt1{pE �'�'f permit to
z In ar�_st Type A ' F- 2/)') Building
? to be occupied onlccordance with
00 plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
": Estimated Value of Improvements, S. 161) °= Fee$ 1•3O 'sem
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applle to the construction, location, and use of buildings within the City of
d o Cupertin o npl ed with.
3 m Ow _ Address
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a s B y x�. \ C Addres ` �—
<0 Phon S)� SEiI��Z:--? Approve >
State Licens �1 UILDINO INSPECTOR