294 Nr �.
W Z A'PPLICTION FOR BUILDING PERMI
1 �
o CITY OF CUPERTINO
IJAN 9 1966 Sanitary No.
5� / q ( -
i n Uate (��I l[�pR C����((�� 196`_ mit No.
F o A� bfiLtRFrhb;M�df
o ; CITY IFati h for a permit
i n a� TypeAlft
ng
to be occupied only a n accordance with
00 Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
> ; Estimated Value of Improvements, 501*_100 Fee E �-
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
J O Cupertirulwillbe comps d with.
3 Ow ne JlII�� CL . Address !o I z j . .Cal.A y,_ ' I oa
agy ' RLL',_ Address f
�01
0 Phone '-� � A rove
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State Livens BUtID G INSPECTOR