280 N. f
L 100.?J e Lor No. '
w ® APSrLiCA IIO� FOR BUILDING PERMIT
r ° CITY OF CUPERTINO
o < INOV 3 1965 Sanitary No.
3 _ ��(� 19(a� Permit No.
. r he n i b a permit to
a
i a a story,Type / �� Building
a w
x to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
v
Estimated Value of Improvements, S 8'4 Fee E
i J 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
o Cupertino will be complied with.
3 �
Owne Address ,A
W a B„�� �G �` Addres�42A, iinz. a�,._-�1';
a U Phon—�f%t����� Approved L�.f T /
State License �y BUILDING INSPECTOR v/�t