51039 . .
NO. STREET
wTION FOR BUILDING PERMIT
I
® a
r OF CUPERTINO
o
RLL Sanitary No.
5 U Uate (JUL R �+ ' 196_ Permit No. .4r/
jLL
r 03 9O
LL W A lication is hereby made for erm�to
N a CIT 'AF 'CU Building
< w
to be occupied only a n accordance with
0 0 -Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee 00
F', "; Fstimated Value of Improvements, $ �Q0 Fee$
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicable to the - struction, location, and use of buildings within the City of
l^i0'�Cupertin be cornpli with
Own d d r e s s
wZ
a a B Address
<0 Phone2J—F- 'S Approve
State Licensee gyp/ Pp eU No INSPECTOR
P-_