51132t.or No.
NO. SI
E -En �
0
WWAPP&I.ATION FOR BUILDING PERMIT
IhCI1TY OF CUPERTINO
AN 13 196 Sanitary `'°,
U:ue 196_ Fermi
CIT\/ nr n' Ill^ nr
pPPhcatton t�hereby��rtT,a;le�pr a permit to
a story, Type�j Building
", be occupied only as au—"—1 10a2e—J 4ftz=eA- in accordance with
Plans, Specifications and PIXPlan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ �00 r=" Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
a Owner Address
z
z
W . By Address
u° Pho 2S ppr
/'/ !;rate LlcenS BUILDING IN'V c''0, /