51145 (3) ft ,
LOT NO.
W Z APPLICA I FOR BUILDING PERMIT
?MAR 31 1966o OF CUPERTINO ''LL�
o Sanitary No. T 39
5 ` �
U
Dat e 6,6- Permit No.
o a�
�. Application is hereby made for a permit to l.PpG�r
O <
i m a story;Type ,T.T.7 �3t7 3 l9GT� Building
to be occupied only as_9An%G. i6,0w/L✓ �6G_ in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, $4G!'/D Fee$ 45C :5&4
iJ 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
0 Cu ertmoo wwill be Co plicd witb.
N Owner/i�0/0 %�A/P l�ftufs/G.t�SV Address - e5a'
i By�l i1> '�-s� Address % 4& exol .,
_U e� Approved
State Licen em w0 iNSPF.CI'OR