2137 (2) ��N �SagEET EB LOT NO,
w a APP CATIOFOR BUILDING PERMIT
° iP,P! 2 198 COP CUPERTINO
O a �� Sanitary No.
U
= LL Dare • G 9 _ ^ Permit No..
N kfZ C�
LL App tca on is hereby made fora ermit to
oQ
K )�
a a a� ) story,Ty uilding
w
—C
to be occupied only as C`
ii o in accordance with PI ns,Specifications and.Plo - an.filed,her 'c-
0> 3 Estimated Value of Improvements, $ I a D Fee$ `
o
z J It is hereby agreed at he requirements of the Cupertino Building and Zoning Ordinances arid.
* z all other laws appli ble o the construct" location, and use of building"within the Cit of
J o Cupertino Wil pli with. y
3 a Owner j Address"+
N
w Z
p a By Addres
1 i �..'UT
Phone Approved`
�d $tat��BICCnSe � �Yt BUILD NC 5 ECTOR
rr
H
� w y
CL S ,
a � r
z LLI
LL < < r f
p p c o p c c
92
W cC H - .
O CC w v 0
w
z N r
z q '� x < 6 6 a
z z z z z
� a �
c`=.