281 �3saw
/ �
NO.C.—: � • LOT NO.
m TAEE
W ® A PL'I ON FOR BUILDING PERMIT
t �
o ITY OF CUPERTINO
o a f NOV 9 1965 Sanitary No.
s u C2 I
w a Uare �[�—(�'yI [p 196, Permit No.
U, w CITY katif,,IJUH for a per it t —3
i to a story,Ty
< w
to be occupied only as I ac cc with
00 plans, Specifications and Plot-Plan filed herewith. Pl k Fee
0 fl a O
Estimated Value of Improvements,S� Fez 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.
Own 1641L CU Address
By 2C (9_ //e,__ : _lLe A
< 0 Phone .Zf�1 �-3,Z97
Approved
r I State License 2 2iC 419 L LDING INSPECTOR