51192LOT NO.
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z p /ATPLIGA IiOtN FOR BUILDING PERMIT
GIF CITY OF CUPERTINO
S u 17 ��68 U i Sanitary No. i."�
i LL layte 196 eK Permit No.
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o P Apphca ions dr a(Mf9r a permit to
aN a 4�� story, Type ���� J Building
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to be occupied only ante with
00 Plans, Specifications and PI -Plan d hereat coo P1 CIL Fee _
Estimated Value of Improvements, Ssg e5sOFez S QO
z J It is hereby agreed that the requirements of the Cupertino Building and Zo in Ordinancees- and
ne o
j Z all other laws applicable to the construction location, and use. of�bui! %/ �'e- /
o Gup will be co �d�/
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< Owner «Address
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U Phon G Approved WfLLIAP.1 Il. R= n.r""t r -p
#L State License/ ��S'—� BUILDING INSPECTOR