447 NO. STREET
W a APPLICATION FOR BUILDING PERMIT
I ° CITY Of CUPERTINO
9 < Sanitary No.
d 196,7 'rV Permit No. ! 7
o
o W Application is hereby made for a permit to �t c
J
V) a story.Type .r X v--s. J" v `�Ballding
to be occupied only as ✓ .�. ✓ / n ith
20 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S lO --� Fee S a -
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be complied with. /fl
Address
— Owner [/�I rr nn s r 25 c
WZ
W By Address "
<V Phone ?eS/f/
Approved
State License V'1r61L'1YT<G INSPECTOR