51075.3 (8) � LOT NO.
NO. STREET
W v� P�-PL'ICAT906
FOR BUILDING PERMIT
r ° E� Y OF CUPERTINO �� ,�-�
o < ) Sanitary No.SL�L
=LL Dat K EP 6 1967 _ ermit No. SI O 7e. 3
� o
W ; A ica i is reb made fort permit to
_
z to a st ry�, uilding
< W
r
to be occupied only in accorda pcc wi
o o Plans, Specifications and Plot-Plan filed herewith. Pl Ck ee �C
"; Estimated Value of Improvements, $/ M, GOO Fee$_DZ(p�•S�
zJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other la syn applicable to the construction, location, and use of buildings within the City of
d o Cupertin wll be complied
3P
Owner Address
WW J
W W 00 Addres SRS
6
w e
,-( 0 Phone 3 22T' /P//
Approved
1 ' !
State License ,TJ I�42z BUILDING INSPECTOR