51137 (2) 6 j�Ip l7es
LOT NO.
NO.
W i A N FOR BUILDING PERMIT
zm
0 OF CUPERTINO
LL ,'MAR 31 1966
Sanitary No.
o
S � r
196_ G'Permit 7No.
0CITB-QCJ0 a Permit to
za 'U
/
f
story,Type FGu/.rilTiO,U \Ji�/�� Building
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith P1 Ck Fee
> 0 Estimated Value of Improvements, Fee S s cL'
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within rhe City of
d o Cupertino will be complied with.
3 H Owner /J1/9dress /q�t7UG�
wz 1!J
W Address
uPhApproved
State Licens ! BUILDING INS