298467495 Heatherwood
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date --------------------- ......... 195-7— 'P it No ---------- -- ?---l.
----------------
Application is hereby made for a
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to be occupied only as ------------
in accordance with Plans, Specifications
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-------------------------------- Building
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Son Jose Building and Zoning Ordinances and all other laws
applicalsh, to the constructiop, lcmation, and use of buildings within the City of San Jaw., will be complied wffh.
Owner/t'-Z- Li ........
4x�� . ..... Address.. --- ---- e ------ ---
Contractor, Agent
Form 280.1 7495 Heatherwood i�.a //;, -ty Henry Pape
RECORD OF INSPECTION
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