51122 /e> I %� n t`� a (&),1.,1\ LOT NO. � i
11YY A 7 r0
NO. STREET
W AP.P.LICATION 'FOR BUILDING PERMIT
0 CITY0FICUPERTINO
5y
KAM ] 1 1968 .' Sanitary No.
Fo Date r, _—, 196. Per it No. �.�.
is fi -\r t
4 A l"tion is hereb made fbaa rmi
oa- pp– yits.,t �nlPitll
ain story,Type r t Builm/8
W
r ; - tube occupied only as �2u J r •M rN 7C n in accordance with
a
20 plans, Specifications and Plot-Plan filed erewrth. Pl Ck Fee
Estimated Value of Improvements, E O Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
2 O Cupertino will be complied with.
3 � Owner 47 F`r2� Y ��!/'r7 P Addres �" / G(�
W ByGt r7l,ePtS9 . /JOd�S l�dd es O COMr" r
of
a U Phone ,14r1 _76S ') Approve
State License 5/U —/ 7/ NG INSPECTOR /