NO PERMIT NUMBER (4) '�W"7.2 s ar b` .4 jze-. LOT NO..5R)�a
NO. GTY OSTCVET.,,1U7o CITY OF CUPERTINO CAP. J IALZI
tlIC[A� TION FOR BUILDING PERMIT l EEE
WQ1J�J Building Per.No. 9 ��
Date ,19 ..
¢ 0 Sonitary Per.
3 u AppL°tion islhe�y made for a permit to 6)0
O a story, Type tructure
p to be occupied only as in accordance with
a
i w Plans,Specifications and Plot-Plan filed herewith.
a u o
r Estimated Value of Improvements, $-Z d U
PI Ck Fee$
_O O It is hereby agreed that the requirements of the a..o
a Cupertino Building and Zoning Ordinances and all Fee$ 3 —
00 a other laws applicable to the construction,location,and
Z use of buildings within the City of Cupertino will be Total Fee$
Z complied with.
3 a h//UC�I� / S�yl
w w �-WNER PHONE� RESS l vE
pCONTR.OR AGENT )�
- V JU
PHONE STATE LICENSE BUILDING INSPECTOR
O�.