Lot 77 4026756 Sohn Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
IA,P/PLICATION FOR
�J� BUILDING PERMIT
Date. -- ------19e- 7 O 7" , Permit No .............. ...... --...............
rl
App//lication is hereby made
fora mit to ....... .,G.�.U.�L._ ------------------------------------------------
a------->`.-------storY� TYPe----�------ ------------- ...... ............. ------------ Building
to be occupied only as ........ '....... .... r_%1_...._..Vim----------------------------
in accordance with Plans, Specifications and Plot -plan filed herewith.
Estimated Value of Improvements, $.../ l4a .o.. 0
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.
Owner---.—YISTTAA/ MANN -- --I)VERS-INC ------------------Address ��-%%G ii/j'li�Uf� U ---
-
Bv--- C- !:...41 --..(n--...------------------
Address-�.�✓:.- .e% -/✓D Q li �,
Contractor, Agent
Form 280-1
RECORD OF INSPECTION
?-//, SJ JD All
A. AV,