51117 Nj� y421 L I /LICH ccicocr/ �r• LOT No. /d77
NO. STREET
.T a hNIPPI I A�TIQQFO'R%BUILDING PERMIT
r o CITY OF CUPF.RTINO
M
j o Sanitary No.
5� (JUN 13 1968
W Date 6 Permit No. 5-111_z
ro
4 WApplicatdsNAereymae(5
O a & J8
i
in a story,Type. / � D Building
aW
r to be occupied only asQL. e v,/ �Jl:� 6 in accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
C.
F ": Estimated Value of Improvements,$ 3S0 Fee S r3
iJ 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
d o Cupertino will be complied with. y yy
3 a Owner'± a1� Y S7L[..•��4 Y.6+�' �''>v
— Address
W 2 rr
� a By-r �(i(isj��r Address
V F
40
Phone ��-� —/8 7 / A roved WILLIAM p. SENEVICH
PP
State License BUILDING INSPECTOR ✓