51145 (2) r G3o
LOT No.�✓ 1-
t. NO. STREET
W a ��'�dP ON FOR BUILDING PERMIT
r O � OF CUPERTINO
2 LL
o 'a Sanitary No. .
50 ' (JAN 2 "
i . Uate 196 Permit No.
o
Ionuu
r a permit too < Clfp
iipqTf� 3IT�LJ
fJ a story, Building
w ; to be occupied only as in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. P] Ck Fee
F 3 Estimated Value of Improvements, $ 1 OOD
Fez E 66aOc�
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 construction, location, and use of buildings within the City of
d 0 Cupertino will be complied with.
3 < O �leop Address
_ m wner
Q a By Addres
<� Phon �3—dfi00 Approved
State License �9/�6�9 ❑'LDIND INSPECTOR
lip . ........