1854 Lor�No.
PLI _ -0 OR BUILDING PERMIT�Z7SB�
- pOCUPERTI
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NO /
195
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Date =7 Permit.No._
�p o tio�She �g unit to , �e C V—
ly a_PL
SSL story,rType^ =s Building
at ��b J f(� Z. C"'e% "i o.
to be occupied only as 1"1 0 la 2 V .I �Q• LL lam6'
in-ccaordance with Plans, Specification d Plot-Plan filed herewith.
Gstilnated Value-of Iipprovements, _D Fee$ O'S
•,i ❑ It is hereby agreed that1. the requirements.of the Cupertino Building and Zoning ordinances and
l all other—laws applicable to the construction, 'location, and use of buildings within the City of
.-.1 Cupertino will be complied wi - - /+ `-� pgOO[
Y 1•< +, Geo-- 't - /
Owner '' Address y '
By Address r•
CONTR CTOR, AGENT _
Phone ZU Approve
BUILDING INSPECTOR
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