39613 84 9. Estates Dr.
CIT OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ... .........77 7)
....... Lot No.
Dafe--A, N ir (D --,/ it No..O'F,/,
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Application is hereby made for a permit to ...... Uerm...................................................
a....---------.story, Type......... Building
Use one-
at ...z.L.L---------F-------- 7, ----------
pancy -------------
to be occupied only as ff/akincu Space ......................
u-
in accordance with PIfn, �pecifiafic ns and Plot-plan filed herewith.
Estimated Value of Improvements, .....................
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Son Jose, will be
complied with.
1 certify that in the performance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workman's compensation laws of California.
Owner ------- ',L tA Address z...LA-zi- (;. CAT 0,
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Contractor Lx k;:'k zl�
ByAgent... ....Lm .---------------------Address .................................... -----------------------
Form 280.1 842 E. YDChUM
�Q (lJ RECORD OF INSPECTION
Foundation ----..(2..:_�...y��0.7/.... .J1(,�rame ....---------.....__...:---------------j--------------
Stucco ---------'.............----------------------- -................ Finish ---7.1.7�4--