100052 (2) cS NO. T
w AM
1.C � N FOR BUILDING PERMIT
so
OF CUPF.RTINO
Q LL
o J I 1 1965 - rtMarr No.
0 CV �I__
i LL Date 196_ ermit�o. r 0 • 0.171,
0
o (zI tdDl cion(3 �i (�
a permit to -' dbJQ
a l� W
i to story,TppPyp.eBuilding
to be occupied only a§§? k--4�A WiCtle Q4Sa, "rgprdaance.with
0 o Plans, Specifications and Plot-Plan fi�herewith. Pl Ck Fee ((per
"; Estimated Value of Improvements, 5 Fee E �a
i� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertino will be complied with.
3N OwnerX k) R N w l f—S G IV Address / /
as By AddressUZZ11/7.0 eela*fAlYke_'
<U Phone Approved
�� PP <
State License- 9�
BUILDING INSPECTOR �b