51009 �( /0 .3 7/ I GfJ lir 3
LOT No.
NO. STR
PAPP DATION FOR BUILDING PERMIT
r ° 1 CI IYV) OF CUPERTINO
2 LL IIIUI
Sanitary' No.
5
1-7
' E 1967 ]
I `o Datey° 196_ P it No.
~ Alicaii n 's h%ebye )r a• ermit to
CipfY �� Itl �`
i to a /' story,Type Building
< w
to be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
O
"; Estimated Value of Improvements, $-A a1D0 Ijer Fee E•3
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all other laws applimble to the construction, location, and use of buildings within the City of
O Cupertino will be omplied ith.
3 W Owner k Address
w °' By �' .0QAA e Address
<u Phone x 02 .909.5 Approved � _'X
State License BUILDING INSPECTOR /JpL