38462 CITY�OF SAN JOSE N2i.t Ca§t1A Drive Tgc ,� ����
BUILDI�G DEPARTMENT
APP,,j� ICATION �p R BUILDING P R IT
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Dafe... Z-- „e.Z.-------------._....----....� 19.�a.,.�... Permi+ No......�..0� 2.�
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Applica+ion is hereby made for a permit fo a�+��7"
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e---'--�-----.sforY� TYPB-----�-�' -- - -..._. . ..- � - - -' -!q!�---'--------------------- Building
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fo be occupied only as ...,L._...../...�/.?���!.. ��3
in accordance with Plans, Specificafions and Plo}-plan filed herewi}h.
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' Es#ima}ed Value of Improvemenfs, $._��_�@c.."....__...._....
It is hereby egreed that }he requiremen}s of fhe San Jose Building and Zoning Ordinances and all o}her
laws epplicable #o }ha construc#ion, location, and uso of buildings wiihin fhe City of Sen Joso, will ba
complied with.
� I certify }hat in ihe performence oi iha work for which fhis parmit is issued I shall not employ eny par-
son in eny menner so es !o violete ihe wo�kmen's compenseiion lawz of California.
I' JOHNSON HOMES, IN , 16155 Greenwood Lane
Owner -'------ - ----------'--..Address ------------
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� � d6155 Greenwood Lane
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By _.�__... -- --G�_. ----- --.. ... ..._..Address ---- --
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Contrqct , Agent
os Gafos, �alifornia
` Form 280-I
.. . RECORD OF INSPECTION .
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