51117 NO r SITY Of CUPERTINO v/�C
APPLICATION FOR BUILDING PERMIT fE �
•. ,7,� rZ,- Bu,lding PF No . i f .
s3Z Oaloy. .uti;.zeTm.r7 .r,; .19. Somtary Par No
g APPIICIh�1�11gjaby�lp $,for apermil'lo
o. .. . —.l stor'y,l..'Type �L � iNFss>sa.�erilc- $hUctura
r 0 syr
}w to bo orrtiplodatly�sn acnc
cordae with .
N Plans Specification and Plot Plan filed herewith
F Eslima lad Value of impro verrlenls,$ // M
5 PI Ck Fee$-Jg . —.
O:O . It ds hereby agreed Ihot the requirq ents of Iho
S va Cupertino. Buildinge
otid'Zomg:OrdInancas and-all Fee.3 ' , �•t. , —
�' ;• other laws applicable lo'the cansiivclion location,and
2 " ithin Lha Cit of Cupgrtina,wtll be Total Fae
we of buildings w Y .
z cam plied 'With.,
— O
Aa0RE55` —�
wyr Z OWNER PHONE Y' f
CON7R 00.AGENT _ �A �SS .
O ?P112?NE �� � ST 7F ll E SF eUIL NGNG INS��T'