51037 (4) OT NO.
NO. STREET
W N FOR BUILDING PERMIT
g��LQTJQ
o° OP CUPFRTINO
OP 2 O Sanitary \o,
5 U 1965
w LL Uate 196_ rmtt No.
Zo
o a ^i+ lic�tjgrt i0r a permit to 4
I
N a lel f 1 1 /Jr story, eui�lding
to be occupied on Aq,;r �t[ce with
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck P
": Estimated Value of Improvements, $ Fee$ /a O_
iJ 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 the City of
O Cupertino will be complied with.
3 0 Owner LG y/� y����S Address///3
a a By -Z ��sxg `
01
4 U Phone c", S7/� S 7 ?�A�pprov State License /J33 3DING PECTOR