38047 tAlldhIdAt lAhd
OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----- ---------------------------/ 19.6.EPermit No.3C-0-7...............
Application is hereby made for a permit to
a-----004,_--story, Type'--1 r—"-- U.4. T-7- e.---- ----------- ------ Building
at
to be occupied only as -/,F*Wl---
in accordance with Plans, Specifications and Plot-�an filedtr�e
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, location, and use of buildings within the City of S.an 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 manner so as to violate the workmen's compensation laws of California.
Owner�
.. Address ---
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-1 - - - -BY
--------------- ------ -- ---
tge/rAddress ----------- -- .. ....
Contractor---Age.at
Form 28o-77543 Faltenleaf Lane Ronald Venter
RECORD OF INSPECTION
Foundakfio'�-. ................. --- Frame
st6cco ------------------------* ...... Finish