51187 (3)LOT No.
N < No. STREET
V�/(OJ
rj T I!:- TI N� FOR BUILDING PERMIT
° CITY Of, CUPERTINO
/MAR 2 196=� sanimrg N°.-sa o
s U e.
w 4 Date 19t>=L Permit No. S
Io
o � ApplIcation is F ereby`made—fora rmit to
am astory. Type -- `��y - Building
to be occupied only as r(1iJ-! P (�a �� _ in accordance with
00 Plans, Specifications and Plot -Plan filed herewith. PI Ck Feed
> N
Estimated Value of Improvements, E Fee S 7C' • &-ci
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 buildings within the City of
O Cupertino s I be complied with.
3a
_ m Owner Address -2a /rte
a By
aU Phone�J�a Approved WILLIAM n nrrPrrsnr�Ht
State License /,57-//
/ / BUILDING WSYFCTOR /
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