51137NO.
NO. STAT,,
w p ITS"p�j�N FOR BUILDING PERMIT
s o V
1 {jl''1' OF CUPERTINO
0 a CT 7 1965 FI q1 @ Sanitary No.
oA
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„ Uate 196_ mit No.
n < C'TYPligrm iCUPE '� M ermit to
0
I Ln a story, Type , h,Building
to be occupied only a %Ince with
20 Plans, Specifications and Plot -Plan filed herewith. PI Ck ee 61 00
00
Estimated Value of Improvements, $ 00e:) Fee $
°z J It is hereby agreeoyd'piat the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws plile to the const ion, location, and use of buildings within the City of
J 0 Cupertino wil a be wt s
3i
_ N Ownerx.// i'!/6 Address
WW a By x,ac� �'Iw7[.-�-./ Addres
Phone x PP
A roved
�[ State Licensr BuoolNc INSPECTOR