51181 (2)/yyI
LGT NO.
No ® PPLICATt N qOR BUILDING PERMIT
refJ V 2 8 1967 OF
tFt1 iCUPFRTINOanitarr No.
Date 1'%i "252 196,' Permit No. S lel
It� r t[�t1
Appli, nisheabym3dPfoRT114m7tlto
a ii>G story, TypeIV/16/ Building .
to be occupied only as .%'z- .e in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S 1�e .
It is hereby agreed that the requirements of the Cupertino
all other laws applicable to the construction, location, and
Cupertino will be complied with.
Owner
By 4D,.O.�
Phon� - /��✓"
State License moi— 9
Fee $ 4eo
Building and Zoning Ordinances and
use of buildings within the City of
DITZ-CRANE
Address 2295 DE LA CRUZ BLVD.
AddressINT' CLARA, CALIF 95050
Approved
NG INSPECTOR
!�