51009 1� x�y'fl I LOT NO. S, /
NO, k
W ¢ �ATIO�1 FOR BUILDING PERMIT
r o T'1' OF CUPERTINO
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< e�I' �SanitarY Na.
NOV 1 965 196_ Permit No., ��O� 9
01 C ffelic f f, it"PERTH r permit to
i m a story,Type — Building
< W
r : tO be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. �� P1 Ck Pee
> "; Estimated Value of Improvements, $ a-- Fee$ ,9
o <
Z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the con tion, location, and use of buildings within the City of
d o Cupertino will be comliedwith.
P
a
Owner - Address
— z
agy Address
<U Phoneme<'3 — $r/d Approved
BUILDING INSPECTOR t
\ State License ` /