51153to
NO.
m VIM ON FOR BUILDING PERMIT
® Ems` jOF CUPERTINO
Samtary No.
llat I �uL 21 i9s�a96_ Permit No. "T/ / 5 3
aci fy1i typo
a , -,z
to be occupied only a('(4�CVL-e -'Yv lt-c.[
Plans, Specifications and Plot -Plan filed herewith. OD Pl Ck Fee
OD
Estimated Value of Improvements, $C;Z 64 Fee $
5 9
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 Cit of �-
Cupertino will b complied with.,��y
Owner - O Address L++ e/ %,C
BS86 uer/-
Y
Phone)( L '' Approved
State L✓icens E0�G B ILOING INSPECTOR
\ 4cx 260,76 lins�ruofrin