457527431 Plum Blossom
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
DEC -1.19641 No...... 37ot......... Lot No:---?---------------- PLAN 1477A
)ate .................... ......... 19------------ Permit No. 1;e
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Application is hereby made• for a permit to ----- sul Lu ..........................................
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a.----.-1..._-.story, type ... V RESIOEN6E_)Y�'AT.L NfD�GA RAdE'(/................................... Building
7431 PLUM BLOSSOM ORICE Use Zone.......R-A..-----....
at...............'........-".........'....'.....
C ccupancy--..... I................
to be occupied only as ..ONE--FAktl LV-_RESIDEyt;E)L� g p -9 P
i C/ aParkin'S ac`
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in accordance with Plans, Specifications and Plot -plan filed herewith. i'
Estimated Value of Improvements, $.....? 5J.Np..............•---•,
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
e pplicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
I certifythat in arior of iha work for which 4his permi} is issued I shall not employ any person in
any mannr so 9s in issued
w rkman's compensation laws of California.
Contractor / 2833 SO. BASCOM
By Agent -...... ------- ...............................Address.--------.....ICAL'fAPSE,6d.._Gf�l.lF.4RN1.9------
,. RECORD OF INSPECTION
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Form 280-1—IOM-12.63