51187 (2)1_rNt ..-�. �—�- LOT/NO. � Z
�?41ALIYCAOTI;6�i��FOR BUILDING PERMIT
AR 29 1968 CITY; OF CUPERTINO
Sanitary No.
Uate--- -zs 19f Permit No. S// '
t;ia?' tRTINO77
Application is hereb rnade for a permit to �t C5�_V
a je, story, Type Building
nI be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee _
Estimated Value of Improvements, $; .•' i Darr ,L . Fee $
76 -Be)
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 'll be complied with, n� �o /�//
Owner — Address,;2a9 d.(/.:r�J1 % / :�i.,
By Addrestll iz
PItoItrc5X`l"f'-V-5�'/D Approved WILLIAM D. BENEVICFA
State License /�—,/ 79 BUILDING INSPECTOR
1