4736.0 C. W� jTREET —
W Z APPLICATr N FOR BUILDING PERMIT
E�
r o APR 2 1968 CITY OF CUPERTINO
a Sanitary No.
SO pp�� G
W Date "Y A �( 1965 Permit No: l7 3
o W Application is hereby made for a permit to /' d(64!!� X
i m a story, Type S/ 6 Building
<w
w to be occupied only as in accordance with
0 o plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $ er� Fee $ v
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
3 o Cupertino will ��� with. � Ad -
Owner o/ Address
a s By Address a(e-57 ~j% S N
<0 Phone �'�`�-5��'�v Approved
State License BUILDING IN SP