51145 (4) 4� G L a LALOT NO.
n NO. Q 5 HEFT
AP�LIQtmu[I . N FOR BUILDING PERMIT
0 ® TY OF CUPERTINO
o 1NOV 16 1965 Sanitary No.
5 /—
W ,�
Date
. 19
6_ Permit No.
0C11pli 4Cion KL'De r apermit to
'za to a story,Type IT 603 Oasiry ) Building
to be occupied only ash S!�✓�GE;� �/�Y GG/.i in accccgrdance with
0 0 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee -�-
Estimated Value of Improvements, S 24/,VQ Fee$ 154
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.
3 < Owner �- P Address
a $y Address A�s1k �
`0 Phone-.1�.5�."�g0<� APProved WILLIAM D. DENEVICH
State License li"l-26409 BUILDING INSPECTOR