51039 17oG,o,o.,Lae br LOT No.
No. STREET
w t ICDA N FOR BUILDING PERMIT
z R ° {�
Y ° ® GD OF CUPERTINO
9 < (MAY 2 0 1966 etlll Sanitary No.
SU
I , Date 196_ Permit No./9
ro
h n ' a permit to G=EC r
O
i s a story,Typei A��� Building
to be occupied only asA�-,y OIC Z 1 rX 40 r -Afo tgh
I V�OOM I'1Pa pp
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00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee /Is
u
F; Estimated Value of Improvements, $�7 °ZOO �— Fee$oZ 7
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other law pplicable to the construction, location, and use of buildings within the City of
2 O Cupertino wi e complied rth.
Owner Address
Q a By V, Address
U Phone \- 6 APpro
I _ State License d �/ /S �/f�5 BUILDING INSPFCt'OR i