51120 LOT NO.
O NO. 'Z"STTREET...
�`APPVICA?I?0N FOR BUILDING PERMIT
Y ° 9 CTuY,IIOF CUPERTINO
�I
o APR 11. 1968 � Sanitary No.
SU d
W n Date 7 — 196�'a Permit No. -/-/QJ-0
°
LQ `lTpl�i/
ocatiRC..s hrelb+ypmcd'Tftonr:a')p
ermit to Cov s TK"CT
oor_
i ur story,Type Building
aw
ato be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
cf
0 Ls
Estimated Value of Improvements, S O Fee$ �-'�
iJ 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
o Cupertino will be complied with.
3 N Ownerl /_`/ Eo UA A/TO /� Address
W W y
B v� /o0 6 - Address /2 2 -541i 00.yt
¢ a
aPhone 2�/2 �3S Approved UJir 1 [Ana In orror,;tr-1.
State License J ✓�, BUILDING INSPECTOR v