51037 //Oftlr( r 1 rf� I.OT NO,
NO. STREET
w 2fq SAP;PLICATION FOR BUILDING PERMIT
r LL i✓ ria X11�` �L OF CUPERTINO
a Sanitary- No.
U
nate /SEP 2 9 1967 ;96— ermit N . -5 /0 3 7
`o a �'IApcpt+� iG eFeb made fora it to '
i N a�'eF U—story r r7 W 7 Building
a wOF .01
to be occupied only as in accordance with
0 o Plans, Specifications and Plot filed herewjlh. PI Ck Fee
Estimated Value of Improvements,$14400 ~i Fee$ ��--
i J It isherebyagreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino ill III be co I' d w h. q
— „ Owner e Address
W Z
rc a By A
U Phone 2.5 Z —4{07 3 3 A pp
rov
I/
State License Oka -q BUILDING INSPECTOR :�