2084 NO. STREET _ LOT NO.
N Q
Zz
PL N' F "R BUILDING PERMIT
: ,OF CUPERTINO0 '
�W-- ', Sanitary
i n ' Date- _ .- 6 Permit No. L.X
' 0
o Application is herebyrhade f`o�r aa�►p., rmtt
a m, "a �• stor'T *a"�`� / B ildin
w
r7, YPe' 4 g
to be occupied only as
a
0 o in accordance with Plans, Specifications and ,lot-Plan.filed rewith.
g Estimated Value of Improvements,$ �6 O O— Fee —
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j Z all other laws applicable to the construction, location, and use of buildin s within the City of
d o Cupertino will be complied with. g
3 � -
wi Owne Address (,3
f By Address
E
t, o Phone L 3
q Approved
State Licens I / d-[7 O BUILDING INSPE60
k [ § (
\ ) \ \
� /\
« 7 ` �
z
o
k
� 04
IM ( » mak «
)° cao \
\ � \ \ \ •
. 7 = .
¥fit « � �/ ( \ ■ z
/(/ : . o ■
` , � } 5 \ \ », ■
N \ !