51137 gaw'O' r G/AX IAT NO. a
NO. STREET
z `
ZA ION FOR BUILDING PERMIT
�
W Q
r o ITY OF CUPF.RTINO
o i ® Sanitary No.
ILL14 1965 196_ Permit No.
0
o Application is a or a permit to Ea�Clltll�
< W
y, yp Building
W ; tl,be occupied only as /r�lt! A040" in accordance with
o `o Plans, Specifications and Plot-Plan filed herewith.
PI Ck Fee
U� IO
>
> ; Estimated Value of Improvements, $ ?S 0 Fee
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will be complied with. n�� ''/
K Owner�flV10 . N i2Hf/�7 Address 103ZO 1('rY JVWJIYIX
Wz
a i By Address
01
KU PhoneApproved
State License BUILDING INSPECTOR /
r ✓