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Noc. C, STtRNEET
z a y WPL"KATION FOR BUILDING PERMIT
APR 2 41968 CITY OF CUPERTINO
o Sanitary No.
50
w a Date p/*r 196_ Permit No.
0 p�
°o Application is hereby made for a permit to
a
a N story,Type Building
w
tt be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pi Ck Fee
" d0
; Estimated Value of Improvements,S ��d Fee S i/''
zJ 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
0 Cupertino will be complied with. / �� �r1
3 a �(��s� D/'t/
— 0 Owners� ��", pp `«✓ Address G W !
W By ' l'°L Address
a 0Phone ���2` li— Approved /
State License BUILDING INSPECYQ