51039 LOT NO.
NO. STREET
W afXRFOR BUILDING PERMIT
r 0 OF CUPERTINO
Sanitary No.
Dateut _15 966 96_ Permit No.
IO
4 F Ica is permit t
o Q �T
aN astory, yp �/ Building
w
to be occupied only as in accordance with
o Plans, Specifications and Plot ed herewith Pl Ck Fee
Estimated Value of Improvements,$--/-4040 "' Fee E 40
C'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 wgith./
_ m Owner /� Address
W Z
BY ��� Address e\ A7A
a a
0 Phone ,1J"7.727 9 Approved
State Licens % a wu INSPECTOR
J