NO PERMIT NUMBER (8) ���s o ( 7 ODAtiX� LX/IIwwP, IOrNO.___�
NO.
Z. I(�� APPLICATION FOR BUILDING PERMIT
0 � CITY OF CUPERTINO p
o :11'IS 1� j��� Sanitary No. 7
w Date / w 196ZY ermit S/!�7.
' 01o F " " '-Application'is heiebylfriade for a permit t=
a � ��
i N a story,Type- /Jl Building
to be occupied only,s 6��'" /j�� • in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
F ": Estimated Value of Improvements, S (go— Fez S
oa
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
0 Cupertino will be comlied with.
3 '
Owner Address
_ w
w z
w w By07
a 0Phone �,l,G�Z� ) 3 1°A ttrove
J PP
�/ State License lI1LDING INSPFCrOR
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