51157 (2)44V
w OR BUILDIN SER T
oP CUPFRTINO�5� Sanitary No.
= W Uate 196_ ermit No. .J
o atois'VC1Y"� �ermit to
a
i n a story, T e Building
aW
? to be occupied only as in a dance with
0 o plans, Specifications and Plot -Plan filed herewith. �1 Ck Fee 7
F ; Estimated Value of Improvements, $ loneyn_. Fee s zJ0 • 105 Ti
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other law applicable to the construction, location, and use of buildings within the City of
d o Cupertino wi plied with.
3�
a O e p q
W W
By — Address K
O's
G!
- U - Approve
[� State Licensees B -I T BUN.WVG INSPECTOR
b I Fj15- 7/$