51167.210931 I Canra Taraca Dr LOT No. 13
NO. ,�SQ�''�T 1116
d2RLlLA'IION R BUILDING PERMIT
CI 4F CUPERTINO s` � j�F
/MAY 9 1968 u Sanitary No.
Urate May
� //��2�� 196 Permit No. 1-17/6 ?,.1-
Applicafionl�slhere5y'.j% �rl� mit to ararr
a 2 story, Type 4 1 J Building
to be occupied only as (;.F -R. in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI CIL Fee
Estimated Value of Improvements, E 31.000 Fee $ 93.00
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 builc�afi�nnthpECity of
Cupertino will be complied with. DDS L �C((jj NN
Owner Address 2295 DE LA CRUZ BLVD.
By
B. Harper Address SANTA CLARA. CALIF. 95050
Phone 257-1110 Approved WILLIAM D. HENEVICH
State Licens151791 BUILDING INSPECTOR