51167LOT NO.
NO. STREET
wAPLLICATIOWOR BUILDING PERMIT
r ° ��Cl- Y 017 CUPERTINO
?11(iP,R n. 1968 - Sanitary No.
s�
i Date pK i �. 196 Permit No. ti « 7
ro
Ap
`o < plication areb
hey. L delfor.lpermit to
i to a story, Type Building
<w
to be occupied only as in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
": Estimated Value of Improvements, $ -3� O 00 Fee $
iJ 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
j o Cupertino will be complied with.
m Owner OHAJ 13 /cE Address /�g3 C�STLE9Lkl �Y.
gy S �i $ ACL C/}Ml� ,Q
U Phone Z�.i 3b O A ro /
PP Y
State License '7 r1 " UILDING INSPECTOR