267 ion 4Tv S
LOT NO.
N No. �jT
W � ;W C N FOR BUILDING PERMIT
r o ® ITY OF CUPERTINO
0 :1 Ir
19 1965 Sanitary No.
5U a 7
i LL Uate ((������p� ����(� 196_ rmit No.
o Q C1T4ppUtioCAJP41 ,
FRT ;ee
it to /
i N a sloIn ildmg n
aw
to be occupied only a
a
0 o plans, Specifications with. Pl Ck Fee �-7�_
F3 Estimated Value of Improvements, 5 SOD Fee$
i 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
J o Cupertino will be complied with. SAfJ�C
3 NrPho
r 3 S Address3 WEn/ TIE?N I�
w Address BST
u
a ne Z9 S=S 7 3
State License
B NG INSPECTOR