51179 (4)3
/ D /S / P" j ,,or NO.
No. STR51fT
®PPLI��10 R BUILDING PERMIT
r o 77.1 FJUPFRTINO
o < Sanitary No.
5 0
= a
Date fEB. _ _ 6896 Permit No. 'J"
LL r Application is hereby made for a permit to
o< VV �
a to a C1Ts�oryRi pc p V Building
to be occupied only as /2z'W /D O � in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
3 Estimated Value of Improvements, $ _1600 °- Fee $
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 O Cupertino will be complied with.
3�
_ m Owner .1"i4ANCi5 (S i/iY/q.Yl Address 40EEP1fDse PL
Z
By 51J1V1</S7- Foots Address ��F_ E< NA/r/i d1F
`U Phone Z -)S /360 A roved
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State License z� % 2 ZO BU LDING INSRRQOR