51123 (4) ``Ony"
i,Lo/ 03 �zv �.q e�
OT N.OrTJ )p
� � TRE�T �
z ¢ APPLIC'ATIO�1 FOR BUILDING PERMIT
r g (iY OF CUPF.RTINO
g (NOV 15 1965 � Sanitary No.
SC2 1965 er No.
14 Uate
ro
LL `Alp icatl I is here y made or permit to
oa p
I m a stor Ty � Building
< w
to be occupied only a in accordance with
00 Plans, Specifications and Plot-Plan a herewlth.Q0 PI Ck Fee
p�
F ; Estimated Value of Improvements, 5I, Fee$
o <
z 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
d o Cupertino will be complied with.
3 <
Owner n vi 4 G�.r/iC Address i0 i4 2e0.4 e T-
aaBy n Acldress__Z2J
02
< 0Phon c!/ Approved
State Licens BUILDING INSPECTOR ♦r