470 LOi Np.
STREET
W �h M AOLICATION FOR BUILDING PERMIT
� e
Y ° APR 2 1968 CITY OF CUPERTINO �
4
o a Sanitary No.
50
Date 7, 1961 Permit No.
ro
°o Application is hereby made for a permit to 'x �i ' s/b'V-
i m a story,Type Building
aw
ato be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, SZ—) O to Fee$ /� G
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with. n
3 m Owner Lf1VD5' E1 Address /T' / y v ��
as By ��n� Sf � Address�G� �raSi S�
i o Phone
_u Approved ��i
µ State License BUILDING INSPE.CT>,�