40368 Jos� ll�i Dr
�WOrest
FFSAN Xj—' ' �, � ' BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract Noz�� Lot No. -��- ------
Date.Z���?.............. ............... 196.--..V Permit .No..._.. -0.........6-.9--
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-0.........6...9--
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App
cation is hereby made for a permit ----
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a... ../-------story, Type��a ... ... ------ Building
Use-zorl
-(-7------.!).... Occupancy
... ------......
to be occupied only as gll
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th ,
in accordance with Plans, Specifications and Plot!p2a�nifi�ede W1
Estimated Value of Improvements, $
If is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and .11 other
laws applicable to the construction, location, and use of buildings within the City of San 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 any manger-- ao folate the workmen's compensation laws �f California
9
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ent
can
ByAgt -5 Address -_......--- 'Z .. .........
Form 280-1 1170 Crestline Dr. R. J. Hunter & Assoc.
RECORD OF INSPECTION
Foundation -/l------- Fr�ae' ..... ...... -----------------------------------
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Stucco ---- ------------ -- -------------- ------------- ----./Finish -----