51104 (2) 53�j O LOT NO.
NO.
W ¢ JEW
FOR IUILDING PERMIT
r o ® OF CUPERTINO
o Sanitary No.
5 IFEB 15 1966
i „ Uate . 196_ ermit No.
e
o ffyat,.O s ha��ermit t
a VVtt 1 v1
z N a story,Typ Building
a w
ato be occupied only in accordance with
0.0 o plans, Specifications and Plot-Plan filed here J Pt Ck Fee
0Q^(J
> ; Estimated Value of Improvements,$cyFez S
iJ 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
j o Cupertino will be complied with.
_ b Owner Lv t-K 4 /4Y. Address,/as
Ad' Y7J�`/ ��c0k.r
i o Ph.., SrY-5e606
_u Approve
1� State License /Y 9 BUILDING INSPFCTOa