100063 161 =I I.OT NO.
NO. STREET
W c PLICA •LpN 0 BUILDING PERMIT
r o OF CUPERTINO
Cr < Sanitary No.
LL Date DEC I3 965 1q6_ Permit No. ��os
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a �JJ'FFT'T'f�r �!
Z N story, ype Building
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to be occupied only a d cc I"h
0 o Plans, Specifications and Plot-Plan file herewith. PI Ck Fee
F "; Estimated Value of Improvements, $ p Fee$
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z J 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
d o Cuprrnn ill be compl' Ith.
3 m Owne � 01z09, . Address
i, By Address
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a 0 Phon �.r. __mo% ww Approv
State License 41Ub BUILDIN INSRE _R