51145-BLDG Permit NO. STREET. TREET I S �iJt7 !� LnT ry 0. v O
w Q n. PSC `TqION FOR BUILDING PERMIT
Yo Rl7�TY OF CUPF.RTINO
o < Sanitary No.
_ L?, —( —NOV 16 1965 _ ,96.57 Permit No. SI/�
0
o Cpl t� rrsth�rq�y7r1ac5e1Ear a permit tom? 'T
a )1"1 liUr'CRIIIYIJ
a m a story,Type 'r-xs ���3 All, Building
ato be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed.hq PI Ck Fee
of
> "; Estimated Value of Improvements, $; /T ^'�' Fez$'��� tr (o
oa
z J 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 m< Owner Address /'/?0'A0��x 6,_
/� //
W z B ��Q �f
W a y Address ox
of
U Phone 7Sj'���� WILLIAM D. HENEVICH
Approved
State LicensBUILDING INSPECTOR