474 :
NOC. C. 5 ET D N
w i APP (CATION FOR BUILDING PERMIT
o
Yo
a LL APR 2 y 1968 CITY OF CUPERTINO
0 , bam[a r\' No.
5 a
Ue�
W „ Uate P A 196_ Permit t No. / 7
o Application is hereby made for a permit to
i a a story,Type /�� X /V, \. .,-�.�e.T Building
W
to be occupied only asin accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S,U Fee;�dd-
i J 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
0 Cupertino will be com tied with.
0
N Owne /—L< Address
_
a a By Address
i 0 P on3/ Approved
�/ State License BUILDING INSPECTOR