51129 55 1997i
OT NO.
NO. STREET
10 3 Q , IION FOR BUILDING PERMIT
r O C OF CUPERTINO
0 4
o � S:mitary No.
5 MAR 8
i Date _ Permit No. 5—//� q
r O /
W W Application is hereby made for a it to
aUTY � mx
�j
i
Lit 'slots+ Building
a w
to be occupied only as accordance with
oo Plans, Specifications an PlobPlan filed herewith - Pl Ck Fee
> "; Estimated Value of Improvements, $ X00 Fee$�?
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable to the construction, location, and use of buildings within the City of
J o Cupertin willbe o plied wit
3 �
_ Owner dress
W
a gy p L� Address
a PhonRff 6 a Approved
INSYF.CT'OR
[Y §tate LlcenS WL ING