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LOT NO.
NO. A K ET -f�k p w f
®PL=ICATIOFOR BUILDING PERMIT
C1T" OF CUPERTINO ..�
SAP 1� 968 Sanitary No. /
Date -Z-2?--, 1962T Permit No. 'r119A.,AppllcationssCherrebyDmadtef lralpermitto
a cg story, Type — Building
o be occupied only a n accordance with
Plans, Specifications and PI -Plan - d herewith. P1 Ck Fe
Estimated Value of Improvements, S. :1!4' coo = .
It is hereby agreed that the requirements of the Cupertino Buil
all other laws applicable to the construction, location, and use
Cupertino will be comd v ith.
Owner I Address
Hy Address_
Phon r Approved
State LicensP�s/
Fee $ O
and Zoning Ordinances and
mildirwLwithin the Ciw of
BUILDING INSPECTOR
x /