457 LOT NO.
W ¢ ® lFPPRT FOR BUILDING PERMIT
0 7 '. !JAN 29 1968 I� OF CUPF.RTINO
Sanitary No.
S tj � _
W LL Ua e +� u app3 TTffnn11nn1968 Permit No.
o w Ap Ii�` U b�RTI Oh permit to /
6
i ur a story,Type. Building
to be occupied only as aV r �y �• —i accordance with
00 Plans, Specifications and Plot-Plan filed herewi . PI Ck Fee
Estimated Value of Improvements,S/0(J u- Fee$
oa
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 O Cupertino will be complied with.
m Owner Address 0]7 3 PYCi C 1,SAN;N C"n"'
a a By ' ✓SAm F Address -�
0Phone y�-y6 ' 77 Approved
State License BUILDING INSPECTOR
i