2468 (2) �o y � LOT NO.
'A
NO. sTREer
` z ` APPLICATION FOR BUILDING PERMIT
z �
r o CITY OF CUPEA!!lTINO
0 ' anitarp No.
FDate ! 196 Permit No. �2
o
'� LL
Application is hereby made for a permit to r
r 0
ato a story,Type uildine
,y w
to be occupied only as
'•, o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
Q d�
3 Estimated Value of Improvements, $0 Fee$ D
oa
z J 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
t d 0 Cupertino will com li wt �
3 ' OwnerAddress ELIBy AddressAPPov
'y� 7 1 State LICCnSe n.DING INSPECTOR
f
N
w w• s
CL
Z K:'
' O
W >
d
N
Fu- F f H M F H
O .
19
U
W
;a04
w c m w a cd,7
z Q Q H a a e e
z z z . z z
ti