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N NO. `3Ta El' l� WID
7 Cif PAPS\PL1 TIN FOR BUILDING PERMIT
o CITY OF CUPERTINO G
o < i APR 15 1968 �J Sanitary No.
5 O
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Dat 1961 Permit No. 'sz/ 9.2•-
��++1 r �! r D ppT nl
lApplication is herebyFltiade1for a permit to d X11
a o2 story, Type Building
to be occupied only _��.F ry� �r ��lJ�er�tcEordance with
Plans, Specificatidns and Pk -Plan kfd herewith. PI CIL Fee /V
Estimated Value of Improvements, $ . 00e Fee $ /�
It is hereby agreed that the requirements of the Cupertino Building and ZoniQQgg Ordinances and
all other laws applicable to the construction, location, and use of uil s0rNr'n rhe Ci y o
Cu erti will be coin�-
Own Address
By Address
�6 G ILLIAIA D. 13ENEVICh)
Phon � yry Approved
State License ��j �V / BUILDING INSPECTOR /