NO PERMIT NUMBER 6683 " - John Dr. .
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Da#e._..-- �.P✓-- ---...195f. 70 ?i Permit No.----"-'-'-'-'----...................
�i I/ %L b
Aplice#ion is hereby made for a permit to................ ........ ..........-----------------------------------------------
a..... ....story,
.... . . . . ..--
a._...-/.--.....story, Type...-. ---------------------'.......Building
at......
.......��._6.--- 3--... ..... a.. p. ..-:.-..............................-...--------.-..------------------
to be occupied only as------(.-/-----F...A-.M. F,/r1. v-4611..
` ".. /v...----'................."----
in accordance with Plans, Specifications and Plot-plan filed herewith.
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 San Jose, will be complied},with.
Y1STA WOR BUILDERS INC. �/9/y��jQ7�LU
Owner LL•- - '- -� -- .... — Address
By'----...Ca.:�'. ��?!'� '—"" "" l-------------Address----` A .CSA /� lPd.._G'.dl...
Contractor, Agent
Form 290-1
RECORD OF INSPECTION
Foundation... -Srp ....J-19M......-_Frame.......- .............. .......................
Stucco------........................................ /// .s -
...