51037 m OT NO.
STREET
5 APPLICATION�FOR BUILDING PERMIT
Q ° CIR OF CUPERTINO
4 I [' Sanitary No.
° < IMAR 98 1968
w n Date `�� 1961 Permit No. SIO.3 7
Io
r w Application is,hereS &dde forst ermit to Ce hl fr+C�
O < t f �t VJt LI i ts�pv
i astory,Type
,} ) • Building
to be occupied only as 2 eJry#�1• ,44 if 'fen n aciTdance with
0 o plans, Specifications and Plot-Plan filed herewith PI Ck Fee
> m • 1
Estimated Value of Improvements, 8 SOJA— Fee 1�
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
d 0 Cupertino will be complied with.
3 Owner 0. UI/,JYA Address 112 3.r 6eft IN, C3t•
a i By��ll h, ��/ C AddresJ - 5r
<V Phone �Lry • �f �ty '�
Approved l
1 State License 8-/=� �7 F'f Sf U BUILDING INSPWtOR /