283 Isv � s '
� LOT NO.
NO. STREET
'�/�PPICA7I N FOR BUILDING PERMIT
0 ® (IY OF CUPERTINO
Y4
K .
5U Sani[ara No.
w Uate �� �t 1966 Permit No. �S
z 0
0
o Q CIWpIVpi nCil�t 5 �r a permit to
z) a-�� story,•,Type Building
to be occupied only as in accordance with
o plans, Specifications and Plot-Plan filed herewith. ck Fee
> N
Estimated Value of Improvements, $ Fee E
zJ 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
0 Cupertino will be/complied with.
3 0 'C' /X Address .2
m Owner
W n By ;, �j[.r-.-. ,�. /�"L-,..-'+-'-r^"—i(-' Address
01
o Phone o?�� —y' 7d
_U -- Approve
State License BUILDING INSPECTOR