292 Cr.�
OYMM V I ♦ N tA^4
NO. STREET
1 5
z APP_LICATI�Id BUILDING PER IT#9.I_��
o ® OF CUPERTINO TT
2LL U
5� JAN 4 1965 Sanitary No.
i „ Uate 196— m Permit N ++
ro
LL ll, is F re permit to
O 6 1
I m a story,Type test MO
r a�be occupied only as for!1! x a 00~ in accordance with
0 o Plans, Specifications and Plot-Plan filetc6herewitob PI Ck Fee
F 3 Estimated Value of Improvements,$ S 00 Fez E
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other s applicable to the construction, location, and use of buildings within the City of
d o Cuper i b complied w'
3 aOwner ddress
N
Z
gy W Address
U Phon y G y5—�' Appro
o State Licens ILDINT INSPF.