2904 (3) i
T 140.
uta VMAR
� S E
I FOR BUILDING PERMIT
M o 6 64 OF CUPERTINO
i - Sanitary No.
SV ;
I `o DanmTT � 196 2 Permit No.
o Clflp�lic n i t de forfa permit to
a
ato a�story,Type _ � Building
W
to be occupied only as
a
o 'o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements,.s�QCC Fee$_ei"o?
iJ- It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, loatiop, and use of buildings within the City of
O Cupertino will be complied with.
3 � -� p
_ m Own�er �p� � ( J f c».� Address U Svc"
W a Ad
a 0 Phon '�`T l APProve
State Licensec`1 BU NG 1."ec'o.
3
•�j o 0 0 0 0 o c
•�. 6 y y 0. 6 6 6
O
mg /
IL
.d
Q
•O
V
W
0 4 o ,� Q � o � o oCJo �
p A
09
O x
w
LU a h
G" m w w C7
w
z z 2 Z 2