458 ad,3
OT NO.
l`'RE T
3 Z APPL C T FOR BUILDING PERMIT
s �
` 0 1JAN 2 9 1968 OF CUPERTINO
Q LL
o Sanitary No.
5 �
U
W „ Uam 3 0196 ermit No. ��
r 0 G1 �.
LL F UUPEK
Application is hereby ma a ora permit to
O a
i
In a story,Type- l Building
w tube occupied only as 3 L r r / /cs-,�/i a nee with
c
o o Plans, Specifications and Plot-Plan filed he with. PI Ck Fee
� "; Estimated Value of Improvements,S /d w Fee S 3
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
d 0 Cup on will be complied with.
3 Owner — Address as 7 3 %yY� U,.rkt.,,fe CliLr4.
N UOQ/
W Z
a By �*-� Address
0Phone �4'L---77 77 Approved
State License BUILDING INSPECTOR
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