51124 I.OT NO.
NO STREET
w ¢ �•AP.PLIrCATLON FOR BUILDING PERMIT
r ° ® CITY OF CUPERTINO
< IDEC 16 1965 Sanitan No,
s
i LL Uate , 196_ Permit No.
//1*000
o CI 4pllEatfon{�s„�UREXthlfUth��� a permit to &_RdFCT
i a story,Type �7 �� Building
ato be occupied only as �/ Ir /Z197Y0 ��accordance with
0 o Plans, Specifications and Plot-Plan filed herewitly� PI Ck Fee
t3 Estimated Value of Improvements, $ .QtOG w� Fez.f..3_�
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cuperh I be co m I i
3 N Owner �N ztt Address Z_03T,2 C!A014)
wz
ii By Address
` 0 PhoneZS2�g -- Approved
State License BUILDING INSPECTOR
`J1�I � V