51145 (3) NO. STRUT
W ® �A_P ,L IC,�TAT7 N FOR BUILDING PERMIT
r0 OF CUPF.RTINO 1
° < NOV 16 1965 Lr Sanitary No.
SV
196_ Permit No.
C1TPYlic0Fn is
o
�� Jtla permit to �,eFl_T
i m a story,Type r�_ZT 4305 A/, s Building
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to be occupied only as, in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S-Z�, cbg Fee$759Pr
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
L) Cupertino will be complied with
Owner -
. //JJ
< 4r// Address >��/64
W z
a a By Address
U Phone - / � �� ApprovedWILL1AM D. 13ENEVICH
State License //�-��� BUILDING INSPECTOR j