51087 (4) 4e%
/10757 d is Dr. Or NO 7 vcv
m ' Plan 201
w z ,� 4W
r TON FOR BUILDING PERMIT
r n AU G 13 1965 Or cupexTlNo �s
� LL
o a Sanitary No.
SV 571
n
w , Dare 196_ Permit No. yl 1 in2C 7
0
r
C1,1plicallot is YeWAyW1JeY6ra permit to E ree t
oa
i N a 1 story,Type S I J Building
aw
5 to be occupied only as S FBWI in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
r "; Estim Value of Improvements,S 21 .000.00 Fee$ 66. oo
i_i It i her y agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all of er 1 ws applicable to the construction, location, and use of buildings within the City of
d o Cupert no ill be complied with.
3 N Owne RA KL I N HL Address 1 1 CAMPBELL
W a BY Ad
i o pPhon 241-8161C
_U APPCOVe—Stat -LICenSe 1975 B INO_INS PECTOR _