51001.2jt/ a i j /
LOT
NO. STREET
PPCtra T$,ON FOR BUILDING PERMIT
CUPERTINO
v r Sanitary No.—
I
LL Date - A 1R , 1 ' 6i�_�� Permit No. S / o �•
0
F Apo i-herebymade for a permit to
to a stor TOe'l�R." �� � F 1t �
y, yp s ' ° � Building
to be occupied only as _�/�> ��i�J� OOCfZ in accordance with
o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
3 Estimated Value of Improvements, $ �c>a Fee $ /S
JIt 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 wil be coomplied with.
a Owner^�Jc>l!� �l/��YL Address g/ k Owk;oO G2-
a By Ada SSA
Phone Approved MIK:�
State License 9 p — / 7 ? Bu G INSPECTOR