42976 I 919 New Haven Ct. �
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..,�1Y2.Z. Lo+ No. ---------7-.`�.._ 1�
' �( �19 Q� �, � 2 � �6 r
Dafe........ ..._ ... . ....._... - -� 19.._.6..3 Permit No. ...- - - -.....-
� Applicafion is hereby made for a permit #o ...}r.�!i. . � -- -----------
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� °--�---- ...s4orY� TYPe----Y--��. ...I�- .............-'----._.......------- Building
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Use Zone ...._.. .
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et' .....�� "�..:...N�....1°1./�- ..... . T, ���o��Pe��y
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' to be occupied only as ----....��.�.Y. .... . � Parking�5pace .--._-.-_-....---.--
in accordance wi#h Plans, $pecifica#ions and PIo4-plan filed herewifh.
Es+imafed Value of Improvemenh, $_.....:�i.:.(c.�7v
Ii is heraby egreed that The requirements of }ha $en Josa Building and Zoning Ordinances and all aiher
, laws applicable to the cons}ruction, locafion, end use af buildings within }ha City 'of $en Jose, wfll be
complied wiih. .
I cer}ify fhat.in the perfcrmence of The work for which +his permit is issued I shell not employ eny per- ,
son in eny menner so as to viola}e 1he workmen's tompensat�on laws of Califcrn�e.
Owner � li(� /Z /'1 A-�.... Address ...... ...� M �..' _...�....... -
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' Controcror.�� � . L_�,V�_N.Po_aLSAddress �l :.S:� T/ER__C��! /`0
BYA9�n}..._'_"'......�- ._. .. ......_"__"_"'__..
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Fo�m zeo-i 919 new Havan Cr.. C. Worlat�n— � — s"o � /
RECORD OF INSPECTION
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� FoundaTion ..�_^.'..��..'.�.C.��..ZC..�Ctt�.r...11..:�'`.._ Frame .__.........----........:. '
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$tucco ..._... -- -- - _ - - - .... - - - -- -`:- Finish �.-L7i.Cr:E'r....-C�Gvv!'�.--`
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