51175• / 0 4 47J
z 4) 6, 6
No.
8
Street
APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
Lot No
File No. L�//,7,S—
P/Sanitary No. &j'z
r—l'��
Do re -// 196 7
Ap li cation is hereby made for a permit to
—a story, Type = L7-
to be occupied only as eyT11 � 44 .— /
in accordance 64th Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements s J /'
"��
FEES 93 Plan Check $
Ow r.e r 6)4ACf— Address &77Z I/ 31
Contr. Address
Phone .2 4C7 3 —0 8 0 0 State License 0 C/
Approved WILLIAM D. BENEvICH
I. CERTIFICATE OF COMPLETION
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .....I------.. ..... ... Building Permit No.
....................
t53 j.
The Building Located at N . .......
Owned by .... V-.L,.JLJ ........ I .............
..........
": ............... . ..... JI.—
Has Been (Completed) For Use As: ........ I
................ I ...............
.---••-----..:...--•• ...........................• I ................................ .......................................................
--------------------------------
.... . ..................................
102 12/66-iM
BUILDING INSPECTOR