100086 /O/-�aC� ��'i2•� iG C�s IOT NO.
NO, J STREET
w Z APPLICATION FOR BUILDING PERMIT
r o CITY OF CUPERTINO
a _
o � Sanl[are No.
a MM
i 4 Date ,I `� 1966 Permit No. /0 0, �XL
0
a Application is hereby made for a permit to
i a story,Type
l�T.ol3L1— �,L_, X� Building
aw
to be occupied only as in accordance with
a
0 o plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
> ; Estimated Value of Improvements, S Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 Ownerswz 7 NAM&-�- Address10GCO Way
— N
aBy Address
i o Phone 252-�,2 b�
_ Approved
State Licens BUILDING INSPECTORd V