317 j1
/x/1✓ / /C�CIiA � - LOT NO.
No. STREET
W o PA N FOR BUILDING PERMIT
R
r ° OF CUPF.RTINO
0 IMAY 25 1966 Samtan No.
= Dare^_ ,, 196_ Permit No. 3/7
o
01
Ci 1 I IIUr o C 0 Jmit to D
i In a story,Type i Q � Building
r ;
to be occupied only as in accordance with
ii o plans, Specifications and Plot- an filed herewtt Pl Ck Fee pp��
> "; Estimated Value of Improvements, S Fee S c-` ,
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with.
3 ' Owner �'
N y Address
W Z
n By - Address.-4-
/
`U Phon _ Approved -All
State
State Licer `7 ' BUILDING INSPECTORY
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