51181 (2)_U
LOT NO.
NO. �ARE T
IO
�&A DOOR BUILDING PERMIT
►JAN 24 IMP of CUPERTINO
Sanitary iNo.
J-3 9 �z
Date� Permit No. 2-/'/2-/'/
Applica ion is herebymadet96forla�per�to Zz .1z
a , �M story, Type %//i/ Building
to be occupied only
in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, -S � Fee $ '501
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.
Owner / /
By //l,///�C"illlidl/.f�G
Phone "-%%'r, —_
State License
Address
Approved
B/UI tT&G IN5PF.CTOR /