39999 �C; Hollande-rry p1.
Cly F SAN JOSE BUILDING DEPARTMENT
APPLICATION _ FOR BUILDINGPERMIT
Tract No. .Q. .. Lot No. -S.1-----------
Date...-----...--- -0--- ._ -. .-- 196..2. Permit No. ------�.� --------
Application is her
eby made for a permit to -----------------------------------------------
a-------/-------story, TYp ....................----- . - ------------------ Building
I�L,/I Use Zone .R_-1.....-----
�Q n p, Occupancy ...gi-------_....
1?1
to be occupied only as ...y�+ /ta._ w' ice .... -...._......
in accordance with Plans, Specificatiolan herewit . ® �'��s
Estimated Value of Improvements, $..--4.6�....... ---------._...
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and ell other
laws applicable to the construction, location, and use of buildings within the City of Sen 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 /'nnr 3- .ej I-e------------ Address ....
Contractor
Bynvant...._ t Address o
RECORD OF INSPECTION
Foundation --- ------------- ----------------------- Frame ....... --- -- ....
stucc 51 �j --
---------- 2�
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