51181 (2)/.iffy I LOT NO.
NO. �STREEET (/ _� 3 J _la
AP_PLICATION� FOR BUILDING PERMIT
�IT��jY� OF CUPERTINO
U� Sanitary No. SoZ °2/
Date 196z Permit No.
/pr r 1r. car' rnr
phcad�oan•Is h`er�by'�Lnade 6apermit to
a frGy") story, Type _1�7t Building
to be occupied only as TL�,e in accordance with
Plans, Specifications and Plot -Plan filed herewith. PI Ck Fee ,*.P�rl
Estimated Value of Improvements, $ 6 Fee $ 1U -10
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 builajnpy_wi i ANEcty of
Cupertino will be complied with. I I j
Owner Address 2295 DE LA CRUZ BLVD.
/I CLARA, CALIF. 9505x1
By
Address
PhoneApproved WILLIAM D. EENEVICF$
State License BUILDING INSPECTOR