51181� O�5"/�f' —�//.L//��1 �% t�-(�C/�f LOT NO.
N NO. STREET
WW
`0fj ��APP IL CATION FOR BUILDING PERMIT %
Y ° {!y CITY OF CUPERTINO
sDEC ' 5 1967 I Sanitary No.
e Ici .z Permit No. &
�o /
< Iippviion�ti?ey�'adf�rapermittoor`°COAX
Z N a G story, Type Building
nI be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"Estimated Value of Improvements, E A� Fee; 4f
OO
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z ail other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with. DITZ-GRAN E
3�—0 Owner/ Address �_�� Me I • 1�. 1+ ntsrn
Wz
uWW
as By ,6�l�T ` �LL491//�f7 Addres£ '1 — -- RA. CALIF
< 0Phonr �(- {/J1 APProv
J _
I\ State License �; / �� 9UI�NG INSPECTOR /