230 vq
NO. STREET
W i N FOR BUILDING PERMIT
S
ro TY OF CUPF.RTIN
0 � t4
5 u IAPB 19 1965
Ua 196_ e it No. �? i-O
W 4 e
z o
4 F /+ 7�P �yccio�''1i���7` Lormit to
o a a 1 I UUr
z m a story, } m ing
aw
ato be occupied only n accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. &FI Ck Fee
Estimated Value of Improvements, S OD 0� Fee E ZC
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
d 0 Cupertino will be co pfjad with. r
3 oZ.0 .7' 0 x&
_ ,aa Owner Q. � � Address 7
aBy Address
a 0Phon Approve
State LiceBUILDING INSPECTOR
nse