40623 JO&Pbb
CITY OF SAN BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 0.14a . Lot No.If----------------
Date_._��..7q.t......../9-------------- I'9.6.5
9,!�.5 Permit
Application is here�* made for a permit to ................. ....... ..............
........ ---t.. . Building
Use Zone -- -------
et ------ ......................... Occupancy .....fir.....--......
to be occupied only as _ 22.1/ king Space __r0--------------
;0_A1A16,tWr,
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws applicable to the construction, locati6n.- and use of buildings within the City of Son Jose, will be
complied with.
I certify that in the performance of the work for which this permit is issued I shall not employ any per.
son in rg6ML�tplZ: ' I f f1h k a ',1 compensation laws of California.
AMP bkv.r86
Owner P 3 $0. SANCOM- Address- --------------------------------- ------------- ----------
C 0nliZ__ L 'ANNIA----
Confracror
------------------------_ --------------------- --------
ByAg.ftt -
Form 280-1 915 BI16� Address SchuLte—Cama Dp-v, Co'
�RECORD OF INSPECTION
Founda+io �6.✓/2a2.1/o..1.(:V.F�.L�/.�..,-{�.....Oa� Frame ------.I-2'.:S-�6----- -L�.`.:`N�.
S+ucco _......_3_`0...`..10.... :'. `.:.'.' Finish ._ .-.c.7..^G3------
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