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51192/-�S � 1 O NO. H NO. QSTRE ET WS W 'APPLICATION FOR BUILDING PERMIT I7 r o CITE OF CUPERTINO r�—p !APR 15 1968 Sanitary No. sU _ W , Da ((�� pp ^�'�1^n9615 Permit No. [/ 9 LW W AV hcatidri' hetPrFaPfffo Qpermit to —aA a -,,t a In a story, Type ? ' v Building r ; to be occupied only /�s�h and Pfef-Plan ,/ accordance with 0 o Plans, Specificatiods ed herewith. Pl Ck Fe > o Estimated Value of Improvements, S0OO Fee $. /?b i J It is hereby agreed that the requirements of the Cupertino Building andZoning Ordinances and J Z all other laws applicable to the construction, location, and o7f �yj)d. "t in t e pit f d O Cup e ino will be com li Wit/ �f pp - h Owner Address W Z W a Hy Address U Phone �J' Approved ILLIAM D. ©ENEVlCjA State License � ,!5-/ vrs / BUILDING INSPECTOR X'