51087 (4) 1 Oi NO.
NO. STREET
W �P`PT ATION FOR BUILDING PERMIT
Y O I� l` f\�
a CITY OF CUPERTINO
5 /APR 15 1968 5anitar,• No. .y
Uate 196_ Permit No. �S—/ 08 /
0
rW r !A'pplication islreb made for rmit to
i V) a— story p Building
< w
to be occupied only a in accordance with
20 Plans, Specifications and lot-Plan filed herewltd0 PI Ck Fee
Estimated Value of Improvements, $ %940 O Fee E
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, and use of buildings within the City of
o, Cupertino will be complied with.
3 �
— w Owner ; Address .72/16
W a By A psi 6 C. io6 "✓rli
< 0 Phoo S7 Appro d
Stale LICCOS INO INSPECTOR