51145 SFDW A�� yg�
I.OT NO.
NO. STREET
w LI TION FOR BUILDING PERMIT
Ir o ®tr
m OF CUPF.RTINO
Ir ^^�� Sanitare No. T 7oZ
5 �
U
w LL Date 166. Permit No. -3 �� Y
Fo
o ( V
Application is hereby made for a permit to �/��'G�!
z N C a MOCKER C�� �« Building
to be occupied only as �/--f �1��/Ll� � ��/ in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements,9 Fee$
i J 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
O Cupertino will be com lied with. /
OwneL
W Z - Address s 63
¢ a By
�0 Phone ApproeedWILLIAM D. HENEVICH
'
State BUILDING INSPECTOR
f Livens