477 NO. STREET
3 z C. C. *RRHICATION FOR BUILDING PERMIT
o CITY OF CUPERTINO
0 , APR 2 41968 Sanitary No.
i Date P 196_ Permit No.
1'4-77ro
o Application is hereby made for a permit to
c
'z m a story,Type In img
to be occupied only as in accordance with
6
o 'o Plans, Specifications and Plot-Plan filed herewith. 1fl Ck Fee
Estimated Value of Improvements, $ /do Fee$ 7
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
2 o Cupertino will be omplie with.
3
Owner Address
_ N
WZ
W W By Addres07s
<u P one Z q 2 �G3� Approved
,/ State License BUILDING INSPECTOR