51192E ET LOT N0. W -D3
j ekPPLICATION�FOR BUILDING PERMIT
f PR 15 196aCITY OF CUPF.R7INOanitary No.
Date 16—e' Permit No.
AppV
lication is here y ma a fo! a permit to
a story, Type Building
to be occupied only"taccordance with
Plans, Specifications and PI Plan f� d herewith. ae P1 Ck Fee
Estimated Value of Improvements, $ �%Oo0=2
Fee $ /�.J
It is hereby agreed that the requirements of the Cupertino
all other laws applicable to the construction, location, and
Cupertino will be coi»p}ied pith,
PFWTWIP-1 WIN4-
Ordin211ce5 and
BUI.LLDDING INSPECTOR