443 1I%GAe /yys
OT NO.
NO. STREET
N A
w a FOR BUILDING PERMIT
r ° OF CUPERTINO
_9 Sanitart• No.oUatef =12C
�(]U 22 1967 A _ ermit o.
LL w Application is herebymade for a rmit to
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i ul a CITY 1 , f
a Buil ing
r to be occupied r e ith
a
ii o Plans, Specifications Plot-PI led rewith. PI Ck ee
> ; Estimated Value of Improvements, $ ARoelFee$ rte?
z 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
o Cupertino will be complied with.
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_ 0 Phone Z�( � — 1 APPro
ved
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State LICInSL123 � DING INSPECTOR