304 LOTNO.
w Z ® APPLIC N FOR BUILDING PERMIT
0
r ° , FEB 7 1966 OF CUPF.RTINO
Q
O J Samtary No. -
5 U ✓ OAl
i (/�� , 196 Permit No.
0 V1 1 W1 r1114%
0 Application i hereby made for a permit to
a
i n a storyTYPe JXy ' a,,/ Building
a w
r ; to be occupied only as in accordance with
20 Plans, Specifications and Plot-Plan filed her lth. PI Ck Fee
Estimated Value of Improvements, 5 Fee.$ 3'
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
J 0 Cupertino will be complied with. /
aOwner k/��1 /4� dress P 'J.
W n By If
a U PhoneZ6'7'`�`r`� Approve 41 Fd-ee
DING INSPECTOR
State Licenses