51115 y/a00Vq Oct r. LOT NO,
NO. STREET
w A N FOR BUILDING PERMIT
oOF CUPERTINO
G ` VI—ml
AR 3 Sanitary No.
1966ll196. RCrmit No.
i N a Cif 1 1i0tf ri tU�,�pI�1 11`11)a permit to
<
S' T Build
? to be occupied only as n actor a with
0 o plans, Specifications and Plot-Plan filed I erewith. Pl Ck Fee 9
"; Estimated Value of Improvements, $ Fez$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be compl/lcd( nh.
Owner Address
Q a By p c Q Address
<U PhonS 3 3 0 V- .. ' / Approved
State Licens "�✓ BUILDING INSPECTOR
T