38786 7583 Peach Blossom Drive
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date--------------- --------....... 19 Permit No3_qt-)___,?---
Application is hereby made fora permit to --------------P,0JNSTftj9T.... -----------I
-------------------
------------------------------
00
a------I-----------story, Type---------- E--- - ---- - --- Building
at
EN #5 TRACT 2017
LOT A-4,46.R19RO D
to 6e occupied only asW"LrFAM1LY-RFS1DE6CE*" 044—
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements,
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It is hereby agreed thatthe 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 workman's compensation laws of California.
Owner -------CjAUDE_.J___LIN 130 0 [.I Camilo Real
I_ -ANC------Address Merifo Park,
By -- ----0e. 1; - , ' air_k-1 California-------..Ca-I i r--o r n-'-i'a-----------
------0.��..... --.Address .....DAVer)POrt-'-1-707a----------- --
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Form 280-1 Con PFq6dWC()nager
RECORD OF INSPECTION
Foundatio . .."--- --- --- ------� -..��Fra ---- -----------
2-5
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Stucco
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S+ucco ----------------------------------------------------------- -- Finizh