100036 1Mttle /�'Ai ACI'otte�r0 - ��9
No. STR
W ¢ T FOR BUILDING E01
r o OF CUPF.RT
5 < eUN 7 1965 saAqwwr
i 4 Uate 196_ Permit
O 0
10 (�7
r F icaU is R ermit
O
I m a ory,TypeBuil in `
\J
? to be occupied only asWle
20 flans, Specifications and Plot-Plan filed herevilail. Pl Ck Fee
Estimated Value of Improvements,$ ��� Fee Z
OJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J , all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be mphed with.
3Q
b Owner- /�`�� dam• Address I
W
a By Address
of
u Phonea �`�L/� Approve
\ State Licensee fr� ILOING INSPECTOR