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51167.2 PERMITLOT NO. STREET' T �-y ' ►PP69 t WIFOR BUILDING PERMIT Y °A�i N �5��; dI .t OF CUPERTINO X- o Sanitary No. i LL Dare a- v --- a 196-Z Permit No.yff'//` 2. Jo o , , t. a a Application<is hereby made for a permit to oQ zz u) a %WO story, Type _ Building a W �. > 62 to be occupied only as in accordance with 0 o Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee F3 Estimated Value of Improvements, $ SZ.. 000 . Imo, Fee $ z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and * Z all other laws applicable to the construction, location, and use of buildings within the City of O Cupertino will be complied with. /- _ �, Owner Address w z By ��i9��/%C Ct a /ef'��• Addresses a o Phone— _ U J Approved State License / _ ��/ BUILDING INSPECTOR f�