51113 (2) n 6y1� Z I.OT NO. / 7
NO. STREET
EC�AMON!FOR BUILDING PERMIT
o �GITY�OF CUPERTINO
Sanitary No.
w198 l
llate 196 Permit No.
f D O,, „
w Application'is.herEbyimade for a permit to
a + 4ii`R,j(tl I"10
i m a story,Type ' Building
< w
to be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, $ Fez$ �5�=
i J 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
J o Cupertino w' be complied with � 11
3Addre
— m Owner
W a BY
0Phone a.4fS- /3GD A PP rov ,
State License �O 902 D a ILDING INSPECTOR