125 APPLICATIONr FOR HOUSE MOVING PERMIT
tiJ CIDVOF
CUPERTINO
OCT a9 �S
Date 195— Permit No.
CITY OF CUPERTINO Fee
V.; Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from and to the specified location at the time and date
indicated in accordance with Ordnance Nj of the City of Cupertino.
\ Owner
X
y y• Approved
� CONTRACTOR, AGENT BUILDING INSPECTOR
n
)'Phone --- . ... .........�..
Building contstructed of No, of Rooms_
MATERIALS Width
Height
Condition of exterior
Condition of interior
Present location �0 �Ps O`Bt�(�e a r/La't' � C.
No. �7 Street Lot Block - Tract (�City
Proposed locationLe`7'Q�l�
No. rz L (/
/�,�Street of Block Tract ley.
Site location on new lot oe&— 7 o2�7,� �.lilr-tom
aekT�/J .
Route on which building is to be moved
�S-� �J
ax cer i to d ner�hep certific`at`e 61ed a CPO ted
s to �n S fo �p_XCQ� Lv +
Other information /0 ` i r�