51130 (2) 66/Q /Y� —)Z ,(Y ¢ I OT NO.
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_ FOR BUILDING PERMIT
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i �
r o ® OF CUPERTINO
5 MAR 24 1966 Sanitan No.
i ,� Uate T ��,/�196_ ermit No.
S// 3o
o DIVica i 1 iscudelldDt� permit
i m a_story,Type
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to be occupied only a in accordance with
00 plans, Specifications and of-Plan filed herewith. OD PI Ck Fee /O SO
> 0OO
F ; Estimated Value of Improvements, S ����� Fee E
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
J 0 Cupertino will be complied with.
— N Owner
f _ Address 41
a a By r �9�� Ad
?AL Approve it
State License :m G INSPECTOR /
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