51187 PERMITY
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LOT NO.
BUILDING PERMIT
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CI�T �OF CUPERTINO
� Sanitary' No.
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.NAY
Date
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196
Permit No. J-1/e
Ap"pliHtion2Is herebyat a are a permit to
a Lei_ story, Type Building
to be occupied only as 0 Al :I _ in accordance with
Plans, Specifications and Plot -Plan filed herewith. U P1 Ck Fee
Estimated Value of Improvements, $-;�9 000 Fee $_doo
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino w' be complied with.
Owner _ Address
By-e= Address rA,v���
Phone aS - /�o S 3 ApprovedW'LL'AM D. EF _VIC-H
State License I.S4 / % L BUILDING INSPECTOR /
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