51039 LAT NO.
NO. STREET
z APPLICATION FOR BUILDING PERMIT
0 o ITY OF CUPERTINO
o Sanitan N0.
S U y
i LLU196_ Permit No. .99
uI' 0 IVIAM 1�bb
deVe CT
o Application is hereby made for a permit to
a
am a AITy nr Building
to be occupied only a n accordance with
MA6"
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
F ; Estimated Value of Improvements, $ %6Z
v Fee$
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J Z all othe ws applicable to the construction, location, and use of buildings within rhe City of
j 0 Cuperti o ill be cum ied with.
3 Owner w Address 10/ S U Pd a r I vP Pr
W a By Address
PhoneApproved 4jplaftAaddl�
State License BUILDING INSP
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