100094 iN 76
S.IUI,/�ehEc��lrEr��car�s �?�. ��/,�r��GT NO.
NO. STREET
N Q
W APPLICATION FOR BUILDING PERMIT
r ° CITY OF CUPERTINO
M _
o a Sanitary No.
50
I 4 Uate , 196 Z Permit No._/00 0
o p
`o 6 Application is hereby made for a permit to
i a astory,Type X /.Z Building
< w
ato be occupied only as f%AF Gvoeh's .S T/3Nq in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee '/
Estimated Value of Improvements, $ .300!a& Fee$ Alb FEE
o <
z J 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 < /y��
_ w Owner G ic�ddress\
w z
w wBy 1
2 a
<U Phone 2 S_2 PProve
State License BU DING INSPECTOR