51159 (5)NO. STREET
3 ZFeORPMAMI-ON FOR BUILDING PERMIT
ia
o OF CUPERTINO
5 AR 2 3 1966 Sanitary No. CpC
I Uate 196_ /Permit No.
`o CIpljionAllh �a permit t� `
i m s�+�+t lls��toUUry, T Building
aw
r to be occupied only as at ith
00 plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
>V
N 3:Estimated Value of Improvements, $�Fez E
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
o Cupertino will be compli with.
3i
_ N Owner Addresv'
W a By Address .�
< o Phon /
_U Q�,(�l^ Approved
I State Licens / • V v ILDING INSPECTOR