51309 (2) „ ye-0 ! lemz4Cw 42LOT NO.
NO. STREET • r • - C'; F Cu?E.UT•,TO VALt�U
CITY OFCUPERTWO 11
d APPLICATION FOR BUILDING Pium1f, 0 t�"-4 l FEE
w K Date ,19 r� Beilding Per.N�f
O P fiSan ar No.
O < Application is hereby made for apermit to-
a_/—story,
o /
= w a_/—story, Type” �'/ X��J /`����Ltructure
OArE eg
to be occupied only as in accordance with
a
'Z w Plans, Specifications and Plot-Plan filed herewith.
a w
= Estimated Value of Improvements,$..�o 066
a LL PI Ck Fee$�
0 O It is hereby agreed that the requirements of the
Cupertino Building and Zoning Ordinances and all Fee $
other laws applicable to the construction,location,and Total Fee$/
z - use of buildings within the City of Cupertino will be
zz complied with.
3 a v//lQly� f 02�7 45790 3010 CS�o�I(1c P . -S G
w z Ow PHONE ADDRESS
R' 6
< v zy7 —ESCpNTR.OR AGENT D S
a((ff adg sFr�
f 1 PHONE STATE LICENSE BUILDINU rNSFtUQX
CITY OF --CUPERTINO
00 TorreAve. Telephone 252-4505
INSPECTION NOTICE _
BUILDING DIVISION
r
INS
Ask
S
•
t EAT ER
ADDR
DAT 1 Z SP. 2-fl-DG. EJELE ❑PLBG.
DAI Y JEPORT ❑CORRECTION NOTICE ❑ VIOLATION NOTICE
PD-6