51145 (3) y� Z/s3� °TN°a23s
NO. STREET
n APE 'TI9N FOR BUILDING PERMIT
z �
0° ° CITY OF CUPF:RTINO ycC3 L
o (NOV 16 1965 1 Sanitary No.
5u
196_ Permit No.
o W CIT,+frpp`FIOoltD p1F{fpr a permit to
Rr raw
i In a story,Type SS �SQS— �L/bv Building
w to be occupied only as f fi/Y,O L,4— iAiiiin accordance with
20 Plans, Specifications and Plot-Plan filed herewith. Pl ek Fee
,, "; Estimated Value of Improvements, $ a9 fent Fee$ AWjR,
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be com lied with.
0 OwAddress '0�' k l til
n By Address "�zx 6yz
07
0Phone �S3 t1��� Approved WILLIAM D. 6ENEVICH
State License /9��'/l9 BUILDING INSPECTOR
Id— ��