51145 (2) S/i�0 (pG4
�J /� /�� //✓ T �� LOT NO. �/
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W ¢ T FOR BUILDING PERMIT JJ
r o OP CUPF-RTINO
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< ?f MAR 4 1966 Sanitary \u. Zb7Jr—
w o Date //��11tt 966 Permit No.
~ gpfli'ati�is hW? r ermit to fl
o �
a to a story,Type S L.T C yD3 � � Building
to be occupied only as �� f/fN�L}��iF«'.�� in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements,$ /Z?' Cb0 Fee$7S
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
2 o Cupertino will be complied with.
3 Owner ���A"� r���Ynr+ ddress
W
n By Address
<0 Phon 3—'pOC7 Appro,edWILL1AM D. 6ENEVICH
State License �9�6t�'Q BUILDING INSPFCrOR