293 i9aso I StT&ua)s 0t6Ek g & m,t� E1�
LOT NO,
NO STREETW e COR/UeP
w p APPACATMIA ON FOR BUILDING PERMIT
Y O ® 1 W CITY OF CUPERTINO
0 ' 1JAN 19 1966 Sanitary No.
Date
O Q Is 196 6 Perm
it No.
oCITVAppQfdo i1; KTQorapermtoINSTALh -Fel
P
SIG
N
OF
im a story,Type By CUl'EI\T11J0 REALTY Building
w 18 SQ. Fi, C2 SIDES —BRck .a 8acK1 PATS .
to be occupied only as in accddrdance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee —_��
> i o0 3
F g Estimated Value of Improvements, $ `� — Fee$ ,
zz 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
d o Cupertino will be complied with.
3 < Owner FRE}t01.7i 4*dd'M UVIOL) SLf(pOl, DlAddr ss
N
i By Lu LS1 UA:LL el $161.7 CO - 10 MI2A Uts7h 2D
< 0 Phon 053'1711 Approve
State Licensen�" 6114--k` l" BUILDING INSPECTOR
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