51129 b� I V A LOT NO,
NO. STREET
W PLT N FOR BUILDING PERMIT
r o ® OF CUPERTINO
o < Sanitary No.
5 MAR 9 966 96_ Permit No.
w LL U:1[f
I O
o Ap.�jp�plicattiion is hereb mRRadeef�foQQr((ape�permit to�QG.7—
i t0 a �stt � Building
? to be occupied only as t X � � •, 0.�a�t��E SajlVim%
iN
0 o plans, Specifications and Plot-Plan filelerewith. Ck Fee
-360
> ; Estimated Value of Improvements, S —400� Fee$
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of building within the City of
d o Cupertino w' ca plied with,
Owner (ddress
W
n By Address
of
0 Phon Approv
State Licens - '/