51137 � .
/D37 1 nT NO.-
No ,,��..��RER.T
z ¢ 100 0 XP'FkATION FOR ' UILDING PERMIT
CITY OF CUPERTINO
4
o < Sanitary No.
5 O ^
196_ Permit No.
' ° f�U f
LL Applic I s hereby a r a permit to
o a
i In a� TYP Building
to be occupied only in(/Ci�Cf-�J • in accoCc�nce with
a /
0 o Plans, Specifications and Plot Ian filed he ewrth P] Ck Fee
g Estimated Value of Improvements, $ Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the construction, location and use of buildings within the City of
; <o Cupertino will be complied with. - �
_ y Ow Address
Q a By sem- o -�e�; /_;'Address
Phone n
�U CeApproved �
r„ State License BUILDING INSPECTOR