51124 pv tot" 99/LLK40, 494Y ?T
LOT NO.
NO. STREET
W to SAV: LrATI N FOR BUILDING PERMIT
£ D OF CUPERTINO
r O
5� GCT 15 1965 Sanitary No.
i LL Uate 196_ Permit No. -V"$e
0
i a l(IsII�1' IidV rn iSNdfEdfVV rmit to E'Al1°
om a storryy,Tyypee �• • ' Building
` w ���1b11iOC�
w ; to be occupied only as xAYA / in accordance with
c
o `o Plans, Specifications and Plot-Plan filed h��eyreewith._ PI Ck Fee �
> "; Estimated Value of Improvements, $�J�/ Fee$ J•
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to tlje construction, location, and use of buildings within the City of
o Cupertino will be complic
3
_ Owner Cl r Address_ 63 9 Ti i ��'c `✓�
/ Address
W B
¢ y
i o Phone 11 `�S 7
_U f/Approved ./ft
State License BUILDING