476 of
NO. STREET
w Z APPLICATION FOR BUILDING PERMIT
r o C. C. W. W. CITY OF CUPERTINO
2 _
o < Sanitary No.s APR 2 , 1968
U:rte F 196— Permit No. '-z'7 �
r
o � Applicati�T iAhtyeby made_for a permit to
III a story,Type (/SX e, 0 eBuilding
W
hi be occupied only ain accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
� ; Estimated Value of Improvements, $ ,/d 0 c1= Fee$ 7 L.=
i 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
2 o Cupertino will b complied with.
3ay � C
Owne Address
W2
W a By Address
0 Ph ne Z 9 -L — /6 Approved
State License BUILDING INSPECTOR