422 STE-VEh1S cReEIL BLvR /38y
OT NO.
1 No. STREET
N aON FOR BUILDING PERMIT
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Date 196_ Permit No.
OF CUPFRTINO
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o Sanitary No.
ILL 0 1967 ?'�3r
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Application is hereby made for a permit to
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In a�;�TY OFst y Building
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,w. to be occupied only as in accordance with
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0 o Plans, Specifications and Plot-PI filed herewith. P1 Ck Be
Estimated Value of Improvements, $� 4"6 o O . Fee S 14 Ry
iJ 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.
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< Owner -t FiC GI N AN CG Address l4S�l 4 I SIE @taS CQ L
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a B/ F3L-UXC- PLi,5rk'S INC Address r 3 J 3 4 S f3L Peow ¢q
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_u Approved
`� State License%� Z�1 1 b� BUILDING INSPECTOR