51181 (2)/D / / l i�f-//✓ /J C��/C. % -_ LOT NO.
No. STREET�t)
.PLICATIO FOR BUILDING PERMIT
OC CUPERTINO
JJUN 12 `i'b8 V Sanitary No.
Urate a , 1p96 Permit No.
Application is her by m aJlfo9rFP/i�my a 24:5�
a story, Type. Building
to be occupied only as in accordance with
Plans, Specifications and Plot -Plan filed herewith.
Estimated Value of Improvements, $ 3
Pl Ck Fee
Fez $ /S --E'-
It
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 comolicd with.
Owner C -F w7 c t2 z=.I/
By
Phone
State License 5 '� 3 Q_
Address U791i _ f'�t r/!!«cY
Address 7�
Approv
UILDING INSPFCTOR