51075 LOT No.
-Y .a NO, ST- ET
I w a APPLICATION FOR BUILDING PERMIT
s o ® zxsu g�ITY OF CUPF.RTINO
o < 'l1E g11AF lJ�e� Abp Sanitary No. !s
50
W 'o ll;t ( IAN 13 19 196_ Permit t No. o
4 Application is h r a permit to �t Z—
a OF
Y/
i N aC 1 � y ype a-- Building
aw
a : n.be occupied only as 6 � in acc rage with
20 Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
2 N00
> ; Estimated Value of Improvements, S-2 3 000 O_ Fee$1e�9
iJ 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
d o Cupertino will b complied with.
3 Owner d Address
a By Address �P0 2Jo�( g� to
Qpm
PhoneZ� p+r� rove /
State License—f�� !L7 � �- A Y° I svFc'Qfr� ,1/