613 (2) p�tr rGL i �I LOT NO.
NO. -SfREET
AP CSAYIO�NA 9
FOR BUILDING PERMIT JDo
I1 CITY��SOF CUPERTINO
Date JAN 7 1560 1'95_ ermit No. tO [ .3
Application is hereby made for a permit to
a Liz oF�rTyp�RTINO Building
y at
to be occupied only,as
in accordance with Plans, Sp fications and Plot-Plan filed herewith. p
Estimated Value of Improvements,$ 00 O Fee$ — 7
"4,
u
c It is hereby agreed that the requirements of the Cupertino Building and Zoning.Ordinances and
a all other law pplicable to the construction, location, and use of buildings within the City of
„j Cupertirn' 66 complied with.
Owner Address
By - ` Address
, ' '�� 6N13TORjA6E T ��Phone `� " -�'eJ I Approved
' BUILDING INSPECTOR
i
f
N a s a a a �'•a c
J 0 o a o o c
V ' U V Q y
O z zz z z z "zcd
` z"
a:
Q.
ku
\LU
z c
f14
A 'C
a W W w V
L�
]z W 14 ra rl r.7
< H z `z z z