274 . 5 art
NO. STREE
W Iw e NFO BUILDING PERMIT
sa
r0 ® OF CUPF.RTI
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30 1965 Sanitarc No,
5 U r
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o F-Zt er
O r COLO I�pp�IV1 r a perm
° a C� l VUP R11 P
i in a Siry,T e Building
to be occupi� as 1 x 9 1rtRS 1`1 �,,
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p 'o Plans, Specifications and Plot-Plan filed ewy�y P
F ; Estimated Value of Improvements,$�. Fee S
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the constructiony I�a�sort, and use of buildings within the City of
d o Cupe m 'll be l i d ith. Cjt.P-cV
3 < [a^ 1
Own Q b Address
t
rc nBy — C @CD Address
` 0Phone 19L-J— Approve
State Livens
BUILDING INSPECTOR
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