549 5- �y
Ntree[ Lot No.
.CATION FOR BUILDING PERMIT
City of Cupertino
Sanitary No.
Permit No. s
E
` p lication is hereby made for a permit to Jv. r� 9C3 = CUPEory�rType el Building
U
to be occupied only as �c-,,. ,Z-E,�i'�-�--,� in accordance with
° v Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
T � / II
iO = Estimated Value of Improvements,$L,�FiP n Fee$L14Q
0 0 It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
> all other laws applicable to the construction, location, and use of buildings within the City of
0 A Cupertin ill be co )plied with.
0
.3 Own ^^^�'"�"'7 G _ . Address
d By A
U +bweT le K Approved
^I State License A _ B d*Inspector