51038 (3) /o _
LOT NO.
N NO.
W OR BUILDING PERMIT
z ® OF CUPERTINO
0
o < �J IL 13 1965 sanitary No. _
50 t
i a DateGQ 196 P mit No.o
o CIT pp� iorr,INor a permit to
a I �
i m a / story,Type Building
< w
to be occupied only as n accordance with
0 o Plans, Specifications and Plot-Plan filed heorwith. PI Ck Fee
F ; Estimated Value of Improvements, S 3 O 00 Fee S /at
oa
z J 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
o Cupertino w'11 be co ph d,with.
3_ a< Owner, Address X03�
w Z � /r n• lm
a a By W a'+ewft, Q -t-W,u 6 Address
< 0 Phone / A L' 2' ('3�j B Approved /�/
State License_, 124 'SqS' 13`I BUILDING IN
SPF.CTO0. ��