51167.2 (2)21880 Rucker Dr. IOT No.
NO. STREET 1131
PPPTt;II�i ,QR BUILDING PERMIT
® � QUI y � CUPERTINO
Sanitary No.
Date PR 3 D 196819 g Permit No. 4-7/6 7 1—
Applic6iW 16Vy j.* p5�mtfto Pram
a 9 tai '' 1Tstory,Typ�el�tf�tr't��{{551'T J Building
to be occupied only as S. F- R. in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements,$ 28_(10(1 Fee$ 85.50
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
Cupertino will be complied with. DI CRAND
Owner Address '=See B_ "~ _. _ gL._
By R_ Harper Address SANTA CLARA, CALIF: 95050
Phone 257-1110 Approved WILLIAM D. GENSVICH
State License 151791 BUILDING INSPECTOR
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