51187 (2)1ry� o`� /33 �iZcsmi
LOT NO.
NO. STREET
w ijA?PPL, KATION FOR BUILDING PERMIT r!/
Y O 1 CITY OF CUPERTINO
CL �n J Sanitary No.
5 < IMAR 9 196 ,.,
U
W , Date 196 Permit No. Lf //rf% %
=o
r iy. eiLA
o a �� s'pplication is hereby made foja permit to _0—�
�t
i a a story, Type 10 1 Building
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to be occupied only as lezey - in accordance with
20 Plans, Specifications and Plot -Plan filed herewith. PI CILFee D
N
Estimated Value of Improvements, $ Fee $ 7�• &-U
iJ 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
o Cupertino will be complied with.
3P
_ < Owner�(t�I — �it�r,.._n Address 9S
x a By ` Address
O Z
AU Phonea4�4PP
���flZ� Approved WILLIAM D. BENEVICH
State License ISI 75E BUILDING INSPECTOR