38067 CITY OF SAN JOSE-Noyember briVe BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
JAN I
Date.------------------------------------------------- 19------------ Permit No....13..714-A--7...--------
Application
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Application is hereby made for a permit to ----------------A------------
a-----/---------.story,
-- CONSTRUCT- -- - - -----------------
Building
------/----------story, Type----------- - -------- - -----0.
LOT at --- ------NOV ---------- LOT 1113 AY;V-.N GARDEN 02
to be occupied only as ...Sif&LETAMILY/ ES 6CE A/w/Vice-T. Y8,13
r %.-,
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $---- --—---------- 3
If 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.
Owner ----- -CIIAU T....Lh'_4_i4,SAY,__1NC------Address --- RCA,-------------------- ----------------
MWIF11,0 P�d( Calfforhia
" I /
By T M.,40ress r 1 1 41 .."
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o I rm.280-1 1-1,, Agent project Manager- � - t
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RECORD OF INSPECTION
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