272 NO. STREET
w ¢ ® Sn�'IPPilANON FOR BUILDING PERMIT
r O OF CUPERTINO
o Sanitary No.
a BSEP 1 1965
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i Uaie 196_ e It o. o2
Y O
o < C���hV1 n top permi� o
a 1Jf �J �Q
i In a Ste- Building
< w
to be occupied only as rff4efth
o 'o Plans, Specifications and Plo -Plan file erewlth Pl C_k Fee
F0 Estimated'Value of Improvements, $ Fee$
oa
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
O Cupertino cot lied t .
3Q
_ < Ow //�� Address
W v L.O Address
a a By
01
<U Phon O Approve
State Licens BU ING INSRF.CI'OR
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