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1535oz1 1
t LOT NO.
NO. ST
BUILDING.. PERMIT
ERTINO �..
�F B 23
Date195_Permit �NCo.
l
Applicl6fflueGebbd �r2a story, Type
Building
at Q�od c A%A,� rze E. s.
to be occupied only as 7-0 ta, �, ( Z -b 1 -izr C,JR V Qd
in accordance with Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ t qu�0%— . Fee $--§—1 C�
v
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
Cupertino will be complied with.n
Owner ` 41rif -�"�- Address 166dii
By tO. Address
��((� CONTRACTO AGENT
hone Approve
aBUILDING INSPECTOR
LL
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