51187 (2)v`-TiYir-v�STREET1� IOM1/tt��� LOT NO. /
PP�V�IU
p a ALICATN FOR BUILDING PERMI
ll
CITYOF1 CUPERTINONAR a 9 196�o
Sanitary Nu.
w Date 8 1968 Permit No.
I o ! Q_f! nt
'o
Application s Hereby made fo-rra permit to
a
i N a 'rZ story, Type Building
aw
to be occupied only as in accordance with
o_ o plans, Specifications and Plot -Plan filA herewith. PI Ck Fee "b
>N e9r,
Estimated Value of Improvements, $ .CLC>. Fee S '?eq, od
iJ 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
o Cupertino ill be compli with.
_ ,n Owne Address
la
a By Address
02
a0 Phone ���JJ�-��� Approved WILLIAM D. 6 t EVICK
State License BUILDING INSPECTOR /