51121 OT ND.
NO. I
-�a7Rr
w ¢ P;PL�CATION FOR BUILDING PERMIT
s ° ?'Potm
CITY OF CUPF.RTIN0
o a Sanitarc N
5 AY 2 7 19 196_ Permit No.
i
r °
�. w A cat'on is her4- 4a
permit to �
<CITY
i in a �9tdF�i�� Qsi ' "��-*$uilding
w 1\tube occupied only a ' R�11,T� D�ttccordance with
w
00 Plans, Specifications and Plot-Plan filed herewltO� Pl Ck Fee
F ; Estimated Value of Improvements,$ / O i� Fez$s�
°z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws a licable to the construe ' location, and use of buildings within the City of
o Cupertino will b c;m lied ith.
3 m Owner ,� Address
w z
a By Addres
< U PhonL/_I/ �[ APPros
�� State License emLoiNG_1) N