275 ptlosell
�D.
NO. STREET
W ¢ P.P.LI ATION R BUILDING PERMIT
t 0 � � CITY OF CUPF.RTI
Y LL
o < ® n t��• No.
5
I `o �eTZ n t0 196_
�. A plication is hereby made for ermit to
Moe
0 p
_U) C.T` I� RT0 �d V Building
to be occuFAS as i � xq�t�1� 1 T @�►Q�j��
0 o Plans, Specifications and Plot-Plan filed h rew9 PI Ck Fee
> "; Estimated Value of Improvements, $�_. Fee E
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
Z all other laws applicable the construction, location, and use of buildings within the City of
J o Cupertin e c lid wit
3 m Owner �L/ �Ck-P-60 Address 119
a a By �� Addre
� 0Phon����— j`S O.3�5 0
Approve
1\ ILDING INSPECTOR�L State Licens