51009 �Oa9s7 I RfE�t/ LOT NO.
NO. STREET
4APP L C, TI. )R BUILDING PERMIT
ftE CUPERTINO' f G�
3'a . t Sanitary No.
F o Date E fmaY .h rX 1 11 �_ Permit No._�Jl009
'
Application
lication is`hereby mad
e for ap,e4r�myit,to
os '
CO�t/JTR!/CT'
Building
to be occupied only as ��J'i G/� in accor arys�.with
0 o Plans, Specifications and Plot-Plan filed herewith. ID PI Ck Fee �S
� "; Estimated Value of Inapt'
mpr�vements, $ Fee$ ��w ���jjj
o a .. 'DO ..
.zJ It is herrby'agreed that the requirements of the Cupertino,Building and�fyp,Xlr es and
j z all other laws applicable to the construction, location, and use of builds m r ity of
o Cupertino will be complier)with.
;.f
— N Owner �' cess
w z By�C iaf.G7 rI._�iyi "
t�"�r✓G q
U Phone 2/r8a7��J f Approved
\State License oL 1�� 7.) Z• INC INSPECTOR