51145 (4)_U
J-
(/.r��
E> I ET
_, 1 OT NO.
NO. Q §1 1{ A
D A'PPLICAffll�!Y
N FOR BUILDING PERMIT
1DEC 21 1965 OF CUPERTINO /� 5 7
Samtarf No. 7�
Date—196C
1'pGG 1965 Permit No. 5 �� `lZ5—
CITAYplhalion 'SWcr aWPr a permit to FEEGy
a story, Type l 3 1-2-,4y Building
to be occupied only as '4Ci1--, in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, S /QO Fee S.�`'
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 be complied with,
Owner /"'� Address v/eo cj�i�
By Address 4
Phone 157� n8/lJ0 ApOgfed
State LicenseI / �1L6 HINSPECT
i/