NO PERMIT NUMBER r
//� a 3 I �✓� Lot^No. 6
No. Street
APPLICATION FOR BUILDING PERMIT J
CITY OF CUPERTINO
File No. nL 7, /
aZ+ ,rs
Sanitary No.
j Do to 196 7
4fp"l,, is"ration is hereby made for a permit to
(t„iu-•c..�—%_ a C-2- story, Type V
to be nccupied only as
in accordance1' h Plot Plan, Plans and Specification filed herewith,
Estimated Value of Improvements $
0
FEE$ /// Plan Check$
OwnerAffl..Z_
Address
f�
Address
Phone 02. J 7 —/// O State License
�• Approved
CERTIFICATE OF COMPLETION
I
BUILDING INSPECTOR'S OFFICE
I / y
CITY OF CUPERTINO
. .. ..
Date... .9..................... 19.� .: .. Building Permit N�1 1C'./ . ....
�l�
The Building Located at ......1.11S13......t✓Y� r b..... r.............
I
IOwned by .... j: ..y.:.......clrfl .�.......... ..................................................................
Has Been (Completed) For Use As: ......,C,.,. .. .. .W....................._..................---
II
L
.................................................................................................................................................
I
Q
BUILDING INSPECTOR
102 7/63.500
I