51114 t.nT NO.
NO. STREET
z p sPl1 IO' FOR BUILDING PERMIT
o ® CITY" ,'OF CUPERTINO
5 < OCT 26 1965a Sanitary No.
I Uate 196_ Perobet No. I
o A 'Au,
o a Lpip�iiti or it b y aiT f�i�A�ermit t
i N a story,Type Building
aw
to be occupied only as In accordance with
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
"; Estimated Value of Improvements, 5 6 st Fee.$ �7
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 comRI d a ith.
3 m Owner tat/ Address f T
aBy Address X
a o Phone v' ��3•y//�
_U Approved
State License V/S�7%y.S.S`" BUILDING INSPECTOR