29800 11661 Sunnyvale-Saratoga Rd.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date....---------J&u...... . .--.195 I ermit No,-------z ( ��
Application is hereby
'made for a permit +o---------Y�W...1 --------------------------------------------------------
e------��.-..story, Type.---.1'r....- -L.L7c------......----------------------------_-_---------.t.-.-s----..----Building
to be occupied only es------------t.lu-li m - - --
--------- -------------------.. -
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in accordance with Plans, Specifications and Plo+-plan fi 1+4M/j�4�;
Estimated Value of Improvements, $--- QQ------
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.
Owner. r � Address—
By------- ...............Address-Q�
--- gnta.1 / G L- 5 ti
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Form nO-1 11661 Sunnyvale-Saratoga Rd. /,/9.5'Yanagani
RECORD OF INSPECTION
Foundation ......-------- --------------------------Frame---Z-'-
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Stucco.........../......----......------ -------------- Finish. 3.16 ir
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