38230 �84 OF SAN JO&'""t Ad' BUILDING DEPARTMENT
APP ICATION )FO
UILDING PERMIT
0 2_Daf a,- ............ ................_-----I I 9."z... Permit o--i3-"`-------1- _0--------------
I
Application is hereby made for a permit to ._0-4----- ----------- - -------- -----------------
a----/-------story, Type------ e ...... . -- ---------------------- Building
- - ------------ ----------------
at 4-------
to be occupied only as /✓-------
in accordance with Plans, Specifications and Plot-plan filed herewith.
CIO
Estimated Value of Improvements, .........
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
compiled with.
I certify that in the performance of the work for which Phis permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation laws of California.
JOHNSON CONSTRUCTIO CO., INE
16155 Greenwood Una
_ ....A --California------------- -
Owner -----------------------_---------- ---- ----Me ddress -----------------Los-Gatm
16155 Greenwood Lane
By ... ......... ..Address --------------------------------------------:-------------------
Agent Los Gatos,.California
Form 280.1
RECORD OF INSPECTION
F �Fre ...
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Stucco ------ --------------------------------------------------------- Finish -----------------------------------------------------------------