51167.1I.OT NO.
APPLICATION FOR BUILDING PERMIT
W�J .CITY`OF CUPERTINO
fll Sanitary No. -�/ 2'?6�
Date( ��r�, 196 Permit No.
Application is hereby made for a permit to P-r�
a_ZJY Crory Type��R PI�� Building
to be occupied only as .:5: F2'. in accordance with..
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, Fee 3 A. Z� 9
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 will be complied with. T CRANE
Owner? _
Phone r%� _ SCJ
State License
Address 2295 DD nu er"m
__v of 6.A E.ro� __.
Address SANTA CLARA, CALIF. 95050
WILLIAM D. B=NEVICN
BUILDING INSPECTOR