479O J LOT NO.
NO. STREET
APPUC ION FOR B "ING PERMIT`
RIO TY OF CUPE TINODat'' qq qqQ� a ';:195_ Permit No.
Application I Her@Hj gad I a permit to
a st ry, T d`�" Building
fry at RTIN
m
to 6e occupied only as •�
L
in accordance with Plans , ION
and Plot-Plano led herewith. p o0
+�\ Estimated Value of Improvements,.$ /-5 600 Fee $O
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
Cupertino. 11 be complied with:
i l"Lc�{�p
n Owner Address-Z/,,-/,
nU
By . / �. � l/ �,. Addres i{
CONTRACTOR, AGENT
Phone /01-4G— ��� Approve
BUILDING INSPECTOR