51181 (3)101 LOT NO, O
N . NO. 0 \TRE' T A �rs�/.�—'A0
W i � PP-LIC�IATI�ON� FOR BUILDING PERMIT
a ° ✓ _ �CILfT"Y OF CUPERTINO B'�
5 U 0 V � 11 19671 Sanitary IVO. S-120
W, Date ;Z�d 196 Permit No.
O •/ nC. n! tDCRTI�1f�
o
&7ppllcatton Is hereby made fora permit to Gsi/Y/
m a story, Type ..i711"I Building
r to be occupied only as S,,�� e in accordance with
0 o Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
F ; Estimated Value of Improvements, $ .49YK
-KP m' Fee; �G�D
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* = all other laws applicable to the construction, location, and use of buildin s within the City of
o Cupertino will be complied with. DPfi-CRANE
3P
Owner Address 2295 DE LA CRUZ BLVD.
W a By 1, �tiru//7 Address SANTA CLARA, CALIF. 95050
Of
<U Phone .1 Q4 Vyi0 Approved WILLIAM D.
State License /S/79/ BUILDING INSPECTOR ✓