51192 (3)I.OT NO. /�
Y N NO. STREET w l
T APP n TI F R BUILDING PERMIT J/F�
r o ® O PP.RTINO
Q LL
9 < Sanitary No. � 3
s �"ir 9a
= LL Date 1 20 19696 Permit No.
�0 11
o W Application iisher(e�by ma(d�e fora rmit to
zin a__(2 ktLry,Gfpe vTANO, Building
<w
to be occupied only as in accordance with
ii o Plans, Specifications and Pl Ian filed herewith. PI Ck Fee sa • �s
Oo
Estimated Value of Improvements, $ .g�. 000 = Pee $ 11?15 —
o<
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
2 O Cupertino will be complied with.
Owner Address'�Il-/%LyAlNiLaA./yyplE
�7/ Addr
< U Phone %3ef 14 210 A
P PProve
State License ��� �u BUILDING INSPECTOR V/
x