51006 �,Q.?,.�. �0Ir; »,.
/.rZ .Z.I G a_ OT o.
NO. STREET
w z ® �A�PLI TION FOR BUILDING PERMIT
OF CUPERTINO
o a Samtary No.
5 u (MAY 2.4 i966
i e 196_ --Permit No.
� o
o w ati for a permit toCITY
z m a story, ype — � Building
aw
to be occupied only as in accordance with
0 o Plans, Specifications and Plot-PI n filed herewith. P1 Ck Fee
F ; Estimated Value of Improvements,S 16, O0O �" Fee S/O 3 00
z J 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 c
3 m Owner K .1 ,G/arx!�L zyl Address
w Z
� a By " �y'Tii.a4 Ad D ' C /t0
< F -
a o Phone
_u 's�- �1(7�Ay Approve
1� State License X 16 7 X BUILDING INSPF CTOR