250 / e' lam. 9 371.
NO, STRE
W FOR BUILDING PERMIT
a o 7� �? OF CUPERTINO
Y LL
O < Samtary No.
5 O
i ,� Date �/� 9� 196_ ermit No. 02"!r
0
o �, �/I�J. a( isel0rp�rp1 q�g permit to /A75-�A'�/wsN( .Siy'//
i m a J' stolr" Tv,,el� V Building
< w
to be occupied only as in accordance with
o 'o Plans, Specifications and Plot-Plan h ed herewith. PI Ck Fee
> y �q
F 3: Estimated Value of Improvements, Fee E 7�
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.
3i
_ N Owner . 0 S Kr Address 2�s as>S! S' Si
a a By Addc
<u Phone 193- `3Z-
Approve
i1 State Licene � BUILDING INSPECTOR
� �
.. �1'.'j
1