38462 C7147OF SAN JOSE Newco§tLA 17rid� 91-91 D PARTMENT
A pp (CATION F R4 BUILDING PREMIT
N�•�m.97� �l� 1 o�i .a �
Date..l. ..� ------- 196.E Permi No...3.�--7---.b..------------------
--------------------------- II
Application is hereby made for a permit to ... ... tf ./. .
( ....... -- -------------
a---Z-----------story, Type--"-- , /-' '- ------ - - ------ - -----_--------------------- Building
G �t/ew¢
to be occupied only aserewiNy��
in accordance with Plans, Specifications and Plo+--plan filed th.
Estimated Value of Improvements, $-ZSOoo -` -------
/- .....
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 per-
son in any manner so as to violate the workmen's compensation laws of California.
16155 Greenwood Lane
Owner .JOHNSON HOME C. _ C.
Address ----------------LOS. .. ...... .....
��___ _-e-- -- -_�. -- .Address .__....--......16.1b5-Greenwood Lane---
Contra or, Ag
By enT
Los Gatos, Cal'dorma
Form 280.1
Q RECORD OF INSPECTION �/��j
Foun 'fio�i . -wl -- �a�..G-_7/ Fro LI. �.5� --6i UG
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