451 IHid
OT NO.
NO. STREET
Z < APPLICATI N FOR BUILDING PERMIT
W 2
° ; ✓ ICITY OP CUPERTINO
s a I (Dr 18 1967 IIIUI ` Sanitary No.
U
= LL Uate A6rG /.t'- 196-7 Permit No.
o IIXM,6,
u W TAPpliTation a he b efor a permit to 445c yv�4 .4 Sea eit. to j
a ) a story,Type ,'�" ^ Building
ato be occupied only as 01XLS in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
> N 0�
Estimated Value of Improvements,E 3�� Fee;
i J 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 �
OwnerVALLCO R99414 flRps.c Address .e
Z
By ��4rd S/D.v C• Address LOS O
� 0Phone 3sG A141-4 APP ro
\k State Licens ErrIDING INSPECTOR