51038 t�zo%i� AAs No. Street Lo
APPLICATION FOR BUILDING PERMIT
City of Cupertino
Sanitary No.
-� Date 6 -3 , 196� p it No.
Application is hereby mad r permit02
3° a o yp Building
u A
to be occupied only asi in accordance with
0
° Plans,Specifications and Plot-Plan filed herewith. PI Ck Fee
n
rEstimated Value of Improvements,S n4� Fee$
0 c 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.
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.3 ._ Owner ess
c By ss
o Phone A.5-3 -9/7 9 APprov'
^ u Bu' I spector
Stale License