51066 (.r i�rceec- LOT NO. A
l NO. STREET
3 a `OpIlCIATION FOR BUILDING PERMIT
r o �' ffROF CUPERTINO
Sanitary No.
r�CCCoDat (r 3 IOVJ196_ Permit No.
A Ic n isde permit to G'O.f/i'T.PC/CT
° < CIS �� i�P�s- SF
am a story, ype _y Building
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w u ied only as in accordance with
n be occ
Y
P �.S'7bARG Sis��
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> 0 Estimated Value of Improvements, $ 420 Fee E a• oe&
i 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 ff mplied with
34 Owner (1) M
- N Address 90400-96"90400-96"a a By QMt�t
pil � Address
<0 Phone Approvedy�
State License BUILDING1 c gym /
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