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Off LOT NO.
H NO. ® TR
Wz ffp
TI FOR BUILDING PERMIT
Ep
= o
OF CUPER'I'INO
oLL OJUN 9 1965
a Sanitary No.
w Uate ��g�Ir . 196_ ermit No.
o D MyOF' ERTI YOp 60
u : cat Is ermtt to /Rl��'// �r N
a
i m a ✓r i��0 story,Type SIBuilding
a w
w ash- in accordance with
to be occupied only
a
0 o Plans, Specifications and Plot-PlaOffiled herewith. PI Ck Fee
ab
F3 Estimated Value of Improvements, $ BOO'— Fee.$ 7 °-
Oz 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
d 0 Cupertino will be complied with.
3 m Owner wvµn S t Kf Address ZZ S�eS-r 2�/ 13AW 7+5'£
W Bye a,c Address
a 0 PhoneNQS' S93Z A rove
c l� j' � 9s PP
�1 State License ILDWG INSPECTOR