51019�� _�� I.KiGCz'-� at, I.OT
NO. STREET
393
W APPLICATION FOR BUILDING PERMIT
t¢
r o CITY OF CUPERTINO
a w
o a Sanitary No.
50
1 LL
Date 19oCG'-� Permit No. �� /D/ 7
o
w Fpplication is hereby made for a permit to
oa � u
= to a story, Type OAa-T- / / 7 �X/,P/ Building
aw J
ito be occupied only as u, l� ''w���/ accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. Ptre'k F,,� .7�.P.
.F ; Estimated Value of Improvements, S_,�TD '� Fee $
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino wII be c9mpp heed w t ,oma
3
r �ew"c41u' . ///.�%✓1r4-�r-tvQd� Address��dS
m Ownea�
Q a By ✓ Address
U Phone�S'%— (� 'i�/o % APP roved1
p State License BUILDING INSPECTOR