51192LOT NO. / O
NO. �f�TRREE`TJ 7 j�
APPLICATIO1NIIFOR BUILDING PERMIT
®(APR 15 1968 CITY OF CUPERTINO
Sanitary No. S �o
Date 19611 Permit No. .f-11 9 e.L
fes` I Y LIQ G1 11'kk I it\in
Application is hereby made for a permit to
a 47zz� story, Type /1' J— Building
to be occupied only accordance with
Plans, Specifications and P t.Pla filed here th. PI CIL Fe
C o-0
Estimated Value of Improvements, E��-tea Fee a �8
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and us- of ildi s n th ty. �.
Cupertino will be com lied with. hiY
Owner Address -2..
By Address
Phone /�/��%�^ /� APProved n.
�N_e_fR:d D. Bi_f�EVICI{:
c
State Licensft �J�/ `rte c7 —,6 BUILDING INSPECTOR