51114 (2)53 /9726 _F LOT ,(�f �3x
OT NO.
m Q NO. .0�ft ST{�M
Z
FOR BUILDING PERMIT
0
zo
r OF CUPF.RTINO
FEB 9 1966 Sanitary No.
5� Sri
i ,� Uate n/�,�,�pe*ents,
196_ Permit No. �
0 0 CATNicaof is per
mit
i n a wetY, T
r to be occupied only as n accordan£e with
0 o Plans, Specifications andherewith PI Ck Fee �--
"; Estimated Value of Impr08Q Fee
i J 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�
d 0 Cupertino b complied with.
Owner Address �
Z
Address
Approve
State, Licens d BOI MNG INSPFCa'OR
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