448 A9 7 s 1 Ji_4ivy q�
nT NO.
NO. STREET
JTPELF �eA.`TION FOR BUILDING PERMIT
r o
Q 0 / 9I CITY OF CUPERTINO
S U 'D L �r• j y 5anitar%' No.
r�-�) s�y 196(2/ Permit No.
0
4 W
ca ' ade fora ermit to
°CITY ? I . 1
<m a story,Type,? Building
to be occupied only as � in accordance with
20 plans, Specifications and Plot-Plan filed herewith. PI & Fee
> N /,,�f,, ��77
r ; Estimated Value of Improvements, S Fee$
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
o Cupertino will be complied nh.
3 �
- Owner �wL. X� AddressWz
%�37DSiK.ae i �uto�
I By t 5(=_til �� Address01
u E rJ Cris
40 Phone 35(e APP rove
State License C - L4 CE ILDIN INSPECTOR