51145 (3) n NO. �'��aEE ��
zZ
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
o DEC 21 1965 Sanitary °. �
5 a
W „ Uate
Permit No.
° CITY f1G. rh QCDTel
o Application is here y ma e;fdi), permit to
i aa l story,Type `rT.T �,J�f< Building
r to be occupied only as 1154WILl //�EC-/ii✓6/ in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, S - Fee E 15 '
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be com lied
N
Owner � �-���� Address ZeOX
W 2
Address
of
0 Phon -tlk5 '1
Approv
aS� ed
State Licensee �9�'—�+n9 B G iNsV cTOR j
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