51101 Lit-411OT No.
NO. STREET
3 APPLICATION FOR BUILDING PERMIT
to
o CITY OF CUPERTINO
0 _
o / Sanitary No.
50
Date 7 1966'_ Permit No.
o iy y
'o Application is hereby made fora e�rm�it to
�,/
i� a story,Type D�i1 36= Q®Ke T Xaa / Building
to be occupied only as ...�w.�t+ e/4'r� in accordance with
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
N
Estimated Value of Improvements, $.4100 Fee$ M,
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, locations, and use of buildings within the City of
d 0 Cupertincfwillbcompli with.
a
_ 0 OwnerIt Address
Q a By Address
U Phon011� 7 Approved
State License BUILDING INSPECTOR