2903 (3) N a ® S ESA FOR BUILDING PERMIT
� �
E �
MAR OF CUPERTINO
o 'a 6 1964 Sanitary No. _�95��
5
i o ll � Permit No. X903
_
`o ppli tont a Wfor a per''mintt to r r p�
a story,Type_ e./�lam✓ Building
W
a
r to be occupied only as
o 'o in accordance with Plans, Specifications and Plot-Plan filed herewith. 00/
* ; Estimated Value of Improvements,.$ (2�. Fees 46 Y,
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, locatiop, and use of buildings within the City of
d O Cupertino will be complie it
_ Owner Address 6 0C do Z
WZ
W a By Addre
07 /
a 0 Phone ppr
oAve
State License lot 29/ UI NG INSPECTOR
j 0 0 0 0 0 0 0 0
,Q G G G
U W w w u y w
us
r X Z X X Z ? X
Q
SIA
LL ar o oho � o ^ o
m
O
w
.� N
0 o w
w
' i