525 ;Z/.,jr I .21 Py
T NO.
NO. STREET
W �r�APPLICATION FOR BUILDING PERMIT
r o V '1� 'CITY OF CUPERTINO
oLL g
a i ` 11 SanitaryNo.
= LL Date /D EQ - 8 Mao F��1;196_ Permit o.
0
o r �tApplication is hereby f perm't to � 8 I
X11^"'r - • • J
Z N 1 =2= StOIy;
a w
to be occupied only a a irh
00 Plans, Specifications and Plot-Plan filed herewith P1 Ck Fee
F3 Estimated Value of Improvements, $7• Fee$ Nn
O a
i 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
J o Cupertino will be comopl; ds�th.
C��Ka� Address
_ m Owner
By
01
L,aU Phone 4 ' n/— Approved ..
PT State License�2 ��� INc INSPECTOR