51145 (4)LOT NO. /� J
m NO.® TR
z ® T FOR BUILDING PERMIT
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r °OP CUPF.RTINO
g < /MAR 3 1966 S:mitary No.. 3
50
w,� Dat e 196C-2'—Permit No.
°Cl�� of CUP,ERI-190 P
4 tca rs ermit to
z in a story, Type 20 Building
w
W I
J 4
00
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H 3
to be occupied only as= / LF �Ai�/L}� �fll-iiY.t in
Plans, Specifications and Plot -Plan "filled herewith. PI Ck Fee _
Estimated Value of Improvements, 6� Fee$
accordance with
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within rhe City of
J_ O Cupertino will be complied with.
< Owne16AeD
N
a gy Address 63
t O Phone, ���
_ U Approve
State Licens /�
9'=—?
BUILDING INSPECTOR