51175-2/.x 39-
? I/� ) IAT NO. I �
NO. STREET
APP C TT104-FOR BUILDING PERMIT
CITY OF CUPERTINO S_ j 2-::L.
(D 1957 �i Sanitan No.
Date 19I Permit No.
Application is htrty{ made for arrpermit to �,eEC-�
vAi i lir t lJi C.�Illdll
a Z story, Type S Z T Building
to be occupied only as 4W _'e_x 4�� mW?) in accordance will
Plans, Specifications and Plot -Plan filed heirewith. P1 Ck Fee
Estimated Value of Improvements, $ -31P Fee $ 5F ?Z -
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. � �C
Own �'«4 .Ol' ddress iC i L7%
B Ad 6 "
Phon APprov
State License n.toNG INSPECTOR
�; I,