285887481 Heatherwood
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BU LNG PERMIT
Date .............................. ... 195_ Permit No----. J...
Application is hereby made for a permit to......
!/ ............story, TYpv'7:f "- '-s?-.elm%-•i
at....�/.SaC.!. .--------- —77779M
to be occupied only as .................
in accordance with Plans, Spec
Estimated Value of Improvements
It is hereby agreed that the requirem
applicable to the construction, location,
and
of the San Jose Building end Zoning Ordinances and all other laws
use of buildings within.the City of Sen JOse; will be complied with.
Owner41012.e._ . Address---...
By....... !L-.... c/i/ 7-... -- ...-Address.......
contractor. Agent U
Form""' 7481 Heatherwood Greene Bros.
RECORD OF INSPECTION
stu«a?�7---Finish...
- .--/-....- s r7 :.:.-i'D . r Fi��sh...l.
.
CORRac%.ofvE ��
Al Fay
31 3Yk
3oY 5` Pi