298 NO. STREET
z 0 �.? ZPPLIICC'ATION FOR BUILDING PERMIT
¢ o 4 OF CUPERTINO
o I/I J n, u �� Sanitan No.
SC pp
Uate . 196_ Permit No. 7�
0
o W CI PPPIica1ion ode fty"fItf a permit to
i In a story,Type Building
ito be occupied only as Sy���� �� 7��U�s in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
I- ; Estimated Value of Improvements, $ �57� 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
J o Cupertino will be complied with. �O3 N S�NYi'.4w�S/lCrry QO.
` L��D.lS7G/� %.✓S. Address 6�/
_ w Owner
W a By Zt G_A'5; . O S�sr/Gdr) <=ri"�'r//✓[� Q�
oo 3Z7—S�S�
Phone Approv
State License j BUILDING INSPECTOR