436 -
LOT NO.
' NO. - STREET
',APPLICATION _FF IR_BUILDING-PERMIT-/
� rry OF CUPERTINO
36 Date' .' � � - � . 195� � Permit No.
8 ,,UL 1 z IMM a ;,:
Application is hereby made fora permit to
a - •-story,TYPO _ - '" Building
Wre III U
at
to be occupied only as
in accordance with Plans, Specifications and Plot-Pla�le herewith.
„ Estimated Value of Improvements, $ �.� Fees
v It is hereby agreed that the requirements of the Cupertino-Building and Zoning Ordinances and
.1 all other laws applicable to the construction, location, and'use of buildings within the City of
Cupertino will be complied with.
v�
Owper("" (&c) � Address
By �• lA7r Address
CONTRA OR, AGEN
Phone 2 -Cal 06 \ Approve
BUILDING INSPECTOR
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