51003 yt7
a00-�43 1,0=277 Je LOT NO. AF
T EE
z APPL A FOR BUILDING PERMIT
r ° (JUS 14 1965 [ft Or cuPERTINo
� _
o < Sanitary No.
50
i o _ 1965 Permit No. �/n
Urn
�. il II
Application is here y ma e for a permit to
0
z w story,Type- -r eft.( 7— Building
to be occupied only as s— fat lt.. �[c-o-Qi /�X� in accordance with
00 Plans, Specifications and Plot- lan filed herewith. Pl Ck Fee �-
> m aC
Estimated Value of improvements, $ �0 � Fez.$
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
d o Cupertino w' be compli with.
3 Owner — Addres e 0'/J WWI T ).e'
i By Address n
0Phon 1'5..x' /,x APProve
rf State Licen DING INSYF.CT00.