38446 'AY SOF SAN JOSE Miller
BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ZJG..Z........ Lot No. 63
Date.._ 3....�.`t[ G 2-- 19.......... Permit No.._ 8 �y
Application is hereby made for a permit to ...'.'J..��.�----------- ---------------
1 1Z..�FS,..6v... 4.l'T.CA. --------.. .. ----------.........--
a..... .........story, Typa.. ,�. . Building
A� '? use Zone ....��..-2---------
- Occupancy -1-3:- ------------
to be occupied only as .... .. AM,.. ES Parking Space ._�_._._......
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $..-�. L------ ,._.............
s hereby agreed that theI requirements of the San Joe ilding and Zeni Ordinances and all other
aws applicable fo the construdfi�n, locatio and use of wild, gs within the y of San Jose, will be
com�l ied wit .
ce tify h t i p i e o th w rk for whipis p is issued. no m to �n er
er so 0 o tet rk s com ens n law Celifo w.
�{ / ,,5.. Sl�a rv__.GLean...
Owner .. . . -r�Q- . ...��.v.rs_...... ......Address .. ..... -
Con}tactor �n o I
qq�� [r
ByAgent.--- --f/.. Address ------=----------------------.......----------
Form 28p-Q3-921 Miller ALL-red F. Davis
RECORD OF INSPECTION
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