273 CY . T No.
NO. STREET
w Z AM P LICk ON FOR BUILDING PERMIT
SQ
Y TY OF CUPF.RTINO
S _
sSanitary No.
0 ,,511 SLP 2 7 1965 e/'
_ W Date 196_ Fermi_ t No. ��
oV`,bfiVGT
�. a or
to F permit to
< CITY' CUPE Y
i in a story,Type Building
aw
to be occupied only as_ 'n accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fe
F3 Estimated Value of Improvements, $/0 d Fee$
i 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 will be complied with. ��� x 7�
NOwner X� / Address ✓�
Z
By Y Address tt /
U Phon D�.CL'� Approved4k
1 State License BUILDING INSPFQ'OR r