478457595 Newcastle
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CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
��}j Tract No........... ----------.Lot No..........................
Date ...........d....� J.................
- ...., 19..i! . ,P�rmi+No.._ ... -L 5-- .....
is herah�made�tor a
of ....1...3. R..1�....'...1.1%1 ' -i!u ! ..._�.is?k U� e� Zone----+r"/-,''y �--V
, vd(, ccdpancy.......----......-----
to be occupied only az _-�_.-.. /��v Puking'Space........................
in accordance with Plans, Specifications an Plot -plan filed herewith.
Estimated Value of Improvements, $..... JY.Q.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.
I certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner so as to violate the workman's compensation laws of California.
Owner..r"fov..7v�1?2K............................. AddressI 79---.VjFW- LrAj74.1F'..----2e'
Contractor ,s .'1 4 "_0
By Ap-_ - /�PZ/�y... iO oa. e Y Address ----/9 .....................%.-...... ...
7591A&aO;9;§tle Fay Ardran '..-'�
RECORD OF INSPECTION
Finish....9.—�!r.-6;5'_ n.) ................
r
FORM 290-I-I0M-2/65