51122 EE7
z ` f APP®IC�AR C N FOR BUILDING PERMIT
a
° CT 2 6 1965 J�I.I OF CUPF.RTINO
o Sanitary No.
5 �
U
i196 Permit No.
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ow Application is hereby made for a permit to
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i m a / story,Type T Building
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to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith PI Ck Fee
> ; _s,2 COEstimated Value of Improvements, d �� Fee$ AI
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
j O Cupertino will a complied wi
Owner S = Address G 326 „ynPG�f /�2
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W a gy '� Address
`V Phon _ `� Approvec]4(��
State LicenseY /-3 �-3 4r_� _? BUILDING INSYF.CI'OR 1 //p
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