51117 LOT NO.
NO. 5TTT n
T p LtCi4Tl' n FOR BUILDING PERMIT
° zn�
OF CUPERTINO
o V 2 1961 Sanitar), Nu.
5 U Permit No.
i ,� Uate � At1.96 �L�Ct
° 1`�11VV
o � Appliagtioti1the or permit to
U) a story,Type Building
W
to be occupied only as in accordance with
o 'o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee ^Jam_
Estimated Value of Improvements, S 3 Fee$ J
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
20 Cupertino will be complied%kith.
3 P
`96
_ m Owner t7
Address 2
o °s By1o�r, uc Address
u Phr> �r�r �f 3"/24p�bved
U r>��5-o?�Sl
pI State Licens B NG INSYF.CTOR /