446 y7 6 s LOT NO.
NO. STREET
N
A�PPLIC�rTION FOR BUILDING PERMIT
° 'OF CUPERTINO
o
CLL J
Sanitary No. /
iLL Date: �NOV /A J � IA6 Permit No.
' o
h
liSati(Q� s �rle'bmapde foyr a rmit to
iN a 'Pp y '"'story,Typ�R%NQ//-- pop1 )y /GyVc/r Building
I. tube occupied only as -11:y in accordance with
o o Plans, Specifications and Plot-Plan filed herrewitt .C91 Ck Fee
m Estimated Value of Improvements, /.�(/
0 ; p E Fee d
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 with. '�
3 m Owner W c�n,f?BS� Address ��Ir v, I . 4
W
s By /;t7✓N/e7z cS/h// Address130 /lu��rlrrJ,tlr�fl,
i o Phone
—U Approved
` State Livens / � �S' BUILDING INSPECTOR