51064 (2) 46
r I 533 .
/0 I.OT NO,
NO. STREET
`
Z Z `AIPP.LUCATM FOR BUILDING PERMIT
r o ® OF CUPERTINO
< �0CT 6 1965 Sanitary No.
5 U } /
ILL Uate 1 16_ rmit
0 p�,�p
o � DR'ica ff is�i7.��lf'Lnp► permit t,
i m a story,Ty V Building
c w
to be occupied o in accordance with
0 0 ?fans, Specifications and Plot-Plan filed herew W PI Ck Fee
66
Estimated Value of Improvements, $ �S Fee$ ���'
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be compl' d with,
3 � Ownertl � �ac� Address `Ago
N /�" / x J
a a By K ( FL�/itJST. Address ` 6
f 01
c u Phon ',C 4;�cr S ;!4 jC-7 Approve
%.dFB1;11D14G INSPECTOR