51187 PERMIT%/�
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1 NO, STAEE J j „ 42
Z a APPLIC° �Tt101�1 FOR BUILDING PERMIT V
°i.. G CI{1' OF CUPERTINO L
o a A„ �� ri Sanitary No.
s U I 196� Permit No. ' t
W LL Date .3 �IA
L0
LL F A lication 1 he e� made for a permit to
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z a �` story; Type _ �. Building
aW
a~ to be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. Pl k Fee
F' 3 Estimated Value of Improvements, $ �5 , d 0 L2 Fee $ %�% � �
zJ 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 e complied with.
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Owner Address G ti L? U
W W Bv Addres s -0n 4 ib
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a 0 Phone �� — � � Approved �ILL1flM D. 13 :NEVICI-€
State License L, / �%9I BUILDING INSPECTOR /