51192LOT NO. }�� , O
N < FIAPR
a i T rr� WD
w �APPL'ICATIOhN� FOR BUILDING PERMIT
o �� 1968 Ci F CUPERTINO
o < Sanitary No.
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s�
F „° Uate �'t K Permit No.
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o W Application is hereby made ora permit to, '
i to a �-� story, Type — — v Building
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W to be occupied only ordance with
0 o Plans, Specificatio s and P -Plan Ed herewith, oo PI Ck Fee
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W: Estimated Value of Improvements, ��� = Fez $ �O
zJ It is hereby agreed that the requirements of the Cupertino Building an Zoni Ordinances and
Z all other laws applicable to the construction, location, and use f buil ith e ?tt a;Q%0
o Cup4ttin will be coir ith.''
_ Own �. Address
W Z
Q a By Address
<0 Phone /(�jS /ln% APProved
-ILLIArr: C. Ei iQLVICF}
State Licensnc / /—O —//( / BUILDING INSPFCTOR