51167/ 7 1 C%A.e'
NO. STREET
No.
.S0 /
CATION FOR BUILDING PERMIT
W v
OF CUPF.RTINO
Sanitary No.
Dat' mM YlImp IT, ,96r �Peermit No. S// 6 7
lication
is hereby made for permit to C l '� f,
Building
to be occupied only as Z/� � in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, Ski Fee $ ,/,5 'r=
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will b comp
ll h. /J D
OwnerT� K/ lfZ Address///% Uig//
By/ /���Z�l� Address 5'?J
Phony GT7G.1IAPP rov&ILLIAM D. BENEVICH
�a qq
State License /.5 5 3 7 BUILDING INSPECTOR