100178 t rnrm Dieiv� LOTNO.
NO. STREET
N
p APPLICATION FOR BUILDING PERMIT
° CITY OF CUPERTINO
a _
9 a Sanitary No.
5JuN�' . No. /60/7f
I a
Date
, 196B Permit No.
o
`o Application is hereby made f�rff permit to tl A r /W Asft
a
a a �N� st Building
W
to be occupied only in accordance with
0 o Plans, Specifications and Plot Ian filed t wt P ee
Estimated Value of Improvements,$ Fee• Q �E
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J = all other laws applicable to the onstruction, location, and use of buildings within the City of
d o Cupertino syi11 be complied with.
3 N Owne C/••� Address �`aopw "7
WZ
W W B
M a
<U ne &'A
Approve
State License MLDING INSPECTOR