51145 (3) �� 5— I ////l�S������i'9 Ji LAT NO. 121:97
NO, STREET
W Q d �LIQA�TION FOR BUILDING PERMIT
r -� OF CUPERTINO 9
o < � Sanitary Nu.
5 U
LL Date ►NOV 16 1.g y- 996 ' Permit No.
W
0
W �,pp(iFatii n_is hereb made for a permit to .Pf_C
O Q IY.Y OF pT���yy�n/�—�
i In a F.
ell t'41YtY� :7� 4�yoy Building
? to be occupied only as .4- f/i✓�f!_� s��*fii�✓ //�iliUir/.� ' _ mance with
0 0 Plans, Specifications and Plot-Plan filed herewith. Pl ck Fee 10
> W3�
Estimated Value of Improvements, $ -L61 cno Fee S /'?0 -sf<
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
j O Cupertino will be complied with. /�
3 < /l C _s�1/l1� F/� Address/xe/ IK?
_ W Owner
W Z // l� /, OST
W By i Address
<u Phonn��S.3 Oc4'C3U _ WILLIAM D. BENEVICH
Approved
State License /� BUILDING INSVF.CI'OR