310 f LOT NO.
W APR 1 1�b��C 4>N FOR BUILDING PERMIT
r o ITY OF CUPF.RTINO
2 _
o � Sanitan• No.
W LL C(t Y MUIPFOND , 1961' Permit No. ?/ O
0
' W Application is hereby made for a permit to
oa
i N story,Type '3-3 Building
aw
to be occupied only as accordance with
a
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, $
Fee$ c�3
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with, Wln. A. POST CONSTRUCTION
3 < / p
Owner x .am�.r I— C� Address
a ; By ' �f� V �✓ Y_J�sl Add (;enter Street
>� re eaNeY gelr.
a U 01
Phone ,x f O/— 0 r r � Approved
State License
n O BUILDING INSPECTOR