51113 (2) A 7 /�;,) J
Z/ 6 I G s �/� LOT NO.
NO. STREET
' z e, R1 • N FOR BUILDING PERMIT
r ° �
8 OF CUPERTIN0
anitary No.26 196
Date
196Permit NO. S-11/_3
0 ° COfwe� FQ J'
4 w I' ti h t ermitto �. 10
i In a d story,Type V IN ► h U IY► • Building
< w
to be occupied only as in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements,$ b C7 O Fee$ S�
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertin,L'ill be m nplied with.
3 v', Owner P Po R� [L Address OZZ C•�srn-res
a a Byti V,gtiAddressu 40
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U Phone �3 �—�9PF0o A roved. ww�'4 J
State License R/--/ F'/U /y BUILDING INSPECTOR