100169 (2) 06 Yr I TorfK WA LOT NO.
NO. STREET
w 1 cA P 1Tf N FOR BUILDING PERMIT
O 4 F� �� TY OF CUPERTINO
a: LL v' Sanitary No.
w , Ua�e �n 1968 196-1 Permit No. 0 c
i 0
°
i aQist� permit to
do FaA
istory,Ty
Building
r to be occupied only as BEo,E oe H _ L-R fKr relfEN in accordan a with
20 plans, Specifications and Plot-Plan filed herewith. ee P1 Ck Fee �S
Estimated Value of Improvements,$9, 6 0 0 — Fee S Sl O C
i J 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
J o Cupertino will be complied with.
3: 1
_ a Owner Oak Cu n ' S 1 Address /64cyi% A/dy
a aBy Address
Phone t573
O /
Approved
a[ State License BUILDING INSPECTOR