463 LOT NO.
E APPGICA�TI FOR BUILDING PERMIT
Q ° ( �96CITY� OF CUPERTINO
APR 9 �� Sanitary No.
s
W W Uate �'�'� 1960 Permit NO.-
0
o.O . (`IlKPTHIM.
`o W Application is hereby.made,fora permit tode :06
i U) a Z story, g
< W
to be occupied only as /japtordance with
0 o plans, Specifications and Plot-Plan filed herewith" PI Ck Fee
Estimated Value of Improvements, Fee$
iJ 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
o Cupertino will be complied with.
3
_ h 0wnere��"4 112'4 e—Ks 4F Address
WZ Or
Q 6 Ly
4 0 phon 23 Approve
State License BUILDING INSPF.CI'OR