51187 (3)�/1 S 1. //i�-CYC-LOTNO.
NO. �0 \`ETy�4� 1�
A /L//
ei- PL -IC' TION FOR BUILDING PERMITT
CITY OF CUPERTINO
111 ([']AR G9 9Uu �1 Sanitary No.
Date S IWO) n Permit No. S
�..�.• w /1\\!� elT\nfe�
astory, Type Building
/�
to be occupied only as �itr e �.F12wsr. in accordance with
t
Plans, Specifications and Plot -Plan led herewith.d PI Ck Fee
Estimated Value of Improvements, $>-�. nom. Fee $ SR. A0
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 gill be complied with.
Owner Addres
By Address—_45 a
Approvedarrt I ]AM D. BENEVICH
State License 4±3_/ BUILDING INSPECTOR '