51114 b' / 3 Gam, ��t
�C- - LOT NO.
H NO, STKjf V I�
.T `I471aril FOR BUILDING PERMIT
o ® OP CUPERTINO
o �:] ( APR 12 1966 / Sanitary No.
i LL
F4 Uate , 1961_- =
Permit No.
oc licd:5n ishrTpKI per
U
o <
i m a Ne-story,Type _ o- Building
? to be occupied only as 1 7_ s O X ( 'y r C7 /`TiCE�rttr accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee v-v
Estimated Value of Improvements,5�1600 Fee S La
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.
��hrlP //' Address10 -g/� /2e /o� is� Ari
Owner
W a By�1fI S 1,-1, e' n i. C Address / 1. 7T
01u
Phony 'Ce-9-sem �f 3 APP roved
r BOtLDWG INSPECTOR
State License�G�L� _T