51167.02j N a ZZ
W
�o
Y LL
!r
oa
SV
W U.
0
LL W
O
a
z lA
a Law S
a~
J LL
00
> U)
F
0 a
ZJ
J Z
J 0
3�
a
N
W Z
W W 'r (L
O g
aU
n j ",
n LOT NO. r� �
NO. ..yAFy / ,e `- a �hja o
,) PP[=1CAT1 [� 60P. BUILDING PERMIT
;illl J U N _t o ��VF CUPF.RTIN0 Sanitary No. J 2-
Date 61- , 196Z Permit No. 3�% � -7 Z—
Application'is Hereby made for`, a,pecmi, to
a story, Type ---;E 'F Building
to be occupied only as C-P 2 ; I I in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee ,
Estimated Value of Improvements, $ 2 6 Fee
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner
By /<J
Phone aC - 2 ///c
State License ,S/_�> ?/
Address
Address
Approvedji,I _- ° 4 .
BUILDING INSPEcroR,