51159 (3)�.
NO. STREET
3 1PPLI�TION FOR BUILDING PERMIT
x o ® OF CUPERTINO / D
o' Sanitary No.
5U 1DEC 1 1965
i , Date 196_ Permit No.
ro
a w atigti�s he mit to
Z N a story, Type F .� f- - wilding
<w o
to be occupied only as /e>" vith
0 o Plans, Specifications and Plot -PI filed here Pl Ck Fee 7/ ell
"; Estimated Value of Improvements, S Fee $
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
61
AddressOwner ?Q 'k
a
W a By���c _t(.t f,�-r1�.Y Address �A.3 /.1
< o Phoneme �+3 �^
c�
- U Approved t c Y-7✓
State License e 2 t 2 07 BUILDING INSPECTOR