51145 (3) I�� /LSO�I' �iQylY Cir LOT NO.. l a �I
NO. STREET
W en�P�'LfG
rNOFOR BUILDING PERMIT
° �"'"� Or CUPERTINO
O < t Sanitary No.rT�f�
Date 'NOV 16
19 196_ Permit No.
' o
A I' �Obr a P
4 ,on ermit to
cry P �F
i a story,Type �S /303 z—'AW) Building
ito be occupied only as 4^ ' V ee; in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S-Z? OCO Fee$ 66Q',
O
J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be comp/lied with.
E lP Fi/� Address /
_ N Owner"/
W a By Address
WILLIAM D. BENEVICH
_U Phon �� Approved _
/ / State License BUILDING INSPECTOR