51128I ti, arkd1a 4-A- LOT NO
NO. -STREET
y �LIC TI®N 'FOR BUILDING PERMIT
CITY"OF CUPERTINO
U N 1968. I' Sanitary No.
Uate , 196 9 Permit No. ®�if
Ap'plication:is herebytniac7e X�a permit to Q �t); ^ 1 "a
a story, Type I d B 11y 6 i� it Building
to be occupied only
in accordance with
Plans, Specifications and Plot -Plan filed herewith P1 Ck Fee
do
Estimated Value of Improvements, $ 7® ® Fee $ 157 "'d
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
Cupertino will be omplied with.
Owner L , l C 0 f! tS Address/O @ `,49A VITA Z#
By
Phone
'+ State License
Address%61R__/ T� Ma
Approved
BUILDING INSPECTOR