51181C�
?fDEC
NQ APPLICATj�ION FOR BUILDING PERMIT15 1967CITY OF CUPERTINO
Sanitary No.
4 , 19�z Permit No.
U- I Application'is hereby made•for a permit to %/ e-
a htv. story, Type !//cj Building
to be occupied only ain accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, $__-14Z262 ' . Fee $f/O'
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
Cupertino will be complied with.
Owner
By /[fLli/ /LGarr Clip[
Phone
State License
D114 -CRANE
Address 295, DE `A __ ` 51
Address 5MrA rl A P A
Approve64
INSPECTOR /