51038 s�y1 a 3 y 4ff NO.
NO. ST
w I FOR BUILDING PERMIT
so
r OF CUPF.RTINO
g < f?E8 211966 Sanitary No.
i ,� Uotte ,, 196_ ermit No.
,s/o
o a �I If,lcOF) t6up IN06 Permit' � -
z to a story p a t Building
< w
to be occupied only a r in accordance,with
0 o plans, Specifications and lot-Plan filed herewith.o a Pl Ck Fee
> 0 SOO !
Fee Z3Estimated Value of Improvements,
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
oCupertino will be complied with.
3i
_ y Owner >t AddressX
Addre _
i0 Ph l.X�r!i—�' lw�.�-� :sal
_u f Appro.
State License 7" BUILDING INSPECTOR ` -