511143iz 197si 4/ghups % 3ys.;
LOT No.
wA FOR BUILDING PERMIT
x ®JUOF CUPERTINO
o ,N 2 8 1965 Sanitary No.
5 <
U
196_ Permit No.
o f ph . ion iTa
�a permit ro rREC
in a�st Building
to be occupied only in accordance with
0oplans, Specificatiofiled herewith. PI Ck Fee
_ 3 Estimated Value of Improvements, S -2t)O 6� Fee 3 3P!
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
P j i all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be complied with. d
y 3 < Owner A%t'R%�%A N nRry, AN Address �%.7 (//Z 5
Q a By %inn k A7,2744, AWA11114 o Address W VSE S
< U Phone ,2 yJ ' h 5_9` % Approved_z"dof
—
\' State Licen"C -6 / -'2/ fi 8-) w WSYFCT00.