51145 (5)'Y LOT
NO. STREET
N Q
wz L FOR BUILDING PERMIT
o ® I(('� F C_UPERTINO
g aIFEB (1 Sanitary No. -
5 U IF J00 -.
W a Uate 196_ r
�� 3(ti�l�s heR`) a rmit b
tC 7 �t1
a �_ story, Ty /
to be occupied only a
Plans, Specifications and Plot -Plan .QIcd herewith. PI Ck Fee
Estimated Value of Improvements, Fez .$ .6
Building
in accordance with
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
Cupertino will edbe complied with.
Owner C' �zag;
Address
�pr(i
By �f���rs� rsi
Address
Approv
BGreDING INSPECTOR
Phone 6 S*
State License ---3 3 u/