NO PERMIT NUMBER X0360 -;L03�G ow / C�E�✓TdT r 4�'E Sia
LOT NO.
NO. STREET
W ¢ APP.L CA�TIION FOR BUILDING PERMIT
Y oJ (�l OF CUPERTINO
LL ��
Sanitary No.
o <
5jU N
i LL Date 1 I Permit No.
, 0
4 Ilication is hereby made for a permit to &LSC'
z N a OFrr,By ERTIli rn Building
w
? to be occupied only as in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith P1 Ck Fee
> 3 Estimated Value of Improvements, Fee$ S
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
d o Cupertino will be complied with. '/
a c.r�rlwl a_11015M/f4 ' Address
Owner
By M�CcP��ey D -S�G/YG�o . Address
4 U Phone 327 S�.$--�
Approve
State License BU ING INSPECTOR