744 (2) d066o S 5'QeA7_0GA -sutivYVA�c R-A.
No. Street Lot No.
CITY OF CUPERTWO
CITY OF CUPERTINO
SEP 9 1971 APPLICATION FOR BUILDING PERMIT
Sanitaryo.
O'te�o
Mp 1 ' 19 Permit No. _
Y E pplication rs hereby made for a permit 10�O E96c7- cSi6&2r
`0 0
3 v a _YCc story,Type 117L'7*L �7L,2C�k L-e7y Building
,., to be occupied only as riICO Q 5C
0 in accordance with
°, Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
z Estimated Value of Improvements, $_ Zyo o-✓ Fee$
0 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 will be complied with.
.3 o Owner. 7'4cp BE, Address 21;44i df" c ST
y np p
E_ By CDw �3. i Is .Ai1d' s OX '? UC of
o Phone B 67 —2:3 Cc Approve
U
t� State License Bu mg Inspector