511762-
7 � iPa; K bats lir • a S/3
LOT NO.
No. -STREET -
APPLICATION FOR BUILDING PERMIT
O CITY OF CUPERTINO
0 < n3AR 29 968 �-_ Sanitary No.
U y
i LL Date 196-1 Permit No. 'I
~ o A_ppl cation s hereby madeToi a�permit to �d ►�C�// J—
i in a story, Type VJ • Oft' �i r J &� I% A Building
a w
ato be occupied only as in accordance with
20 plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements. E 3 d y Fee $ J
i J 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.
3 0 Owne�a Address ./ Sri % 1�4iA�1hv�/'
a n
a Ii� 7BAddress
Phone aq'�' �CU AoorovedaCe`
1
A State License // BUILDING INSPECTOR .01�