51123 (3) ��aIO LL\ss(iC/ e 1 wLr l OT NO. CJ D
RET �l
W Q APPLtCATIt FOR BUILDING PERMIT
r D OF CUPERTINO
g ;
I?N/
15 1965 Sanitary No.
5 U /�
Fo U:y{q RT 19f�y e iit No.
4 w It
Application is , ermtt to
o < .C—
i a a story,Tvrx�S �3G, �7 Building
ato be occupied only as �/ �a� "' �� U�-2�.�ccordance with
20 Plans, Specifications and Plot Plan filed herewrth.11010 PI Ck Fee
> "; Estimated Value of Improvements, S ��'® Fee$ 5
iJ 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, anAofbuil gs within the City of
d o Cupertino will be complied withaOwner � J AddrW Z (lBy nc4�.Phon��JL 7.0✓�u ApprState Licens��t�h/��� WG WSPRC100.