51038 wt LOT NO. �v
NO. STREET
W Q � 1'�PL�C'ATRN FOR BUILDING PERMIT
r o ® �� OF
o CUPERTINO
a LL
o a Sanitary No.
5 U
I ua JUN 1 1966 196_ Permit No.IN
5030
A lica is r foUpermit to
o a lJl
i m a story, e
a w
r to be occupied only as !'� LSA in accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith.. P1 Ck Fee
00
Estimated Value of Improvements, Sa�` Fee$ S Asa
o a •a.
i J 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
J_ o Cupertino will be complied with.
mOwner&a- 4,f r,a �� Address 'C- -7-
z
W Bl Add
ux
aV Phones- 306
Approve
State License �2 25'7, &-;Z' BUILDING INSEF.CI'OR