587LOT NO.
NO..-t'-St. STREET
'APPLICATION FOR BUILDING PERMIT
CITY OF CUPERTINO
•c:' r .'
Date `^ \� ^' 195_ Permit No.
Application is hereby made for a`permit for G,4 0 X—
',�Ir-' a story7Ting Building
fi at /LCirn�L � I
.to be occupied only as;I JI '4�7JrdW
4 in accordance with Plans, Specifications and Plot-Plan filed herewith.
Estimated Value of Improvements, $ C� Fee $�? D6 .
v
� It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and '
all other laws applicable to the construction, �jocation, and use of buildings within the City of
;-a Cupertino will be
complied with. `/ p/ ix
Owner {y �j - / z/I (a�jAcddresy::�
By 57w Address t
CO TRACTOR, AGENT
Phone r 3 Approved
BUILDING INSPECTOR
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