39947 .,-3 -1-325 Sarat gatSu fiyyale Rd'
ClIf OF SAN JOSS ' - ri BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. . .. ... .... Lot No. . ..............
Date------------------------......../A.. f....._, 19--- Permit No. ............
Application is hereby made for a permit to .......d,/-tL/----------------------- ----------------------------
a---------/-..story, Type .... .. - -- --✓----- ------------------------------------------- Building
Use Zone -C �7'/
Use
.....
at
--- ---------------
------ ...
pa cy .......F7n-/...
mg
Space
to be occupied only as ---------- -'*66eft pa - --------------------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $----/-J_DO O
-- ---- -----
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. Son 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 worlmen's compensation laws of California.
Owner &Mh/d 490we _4
A9 Address 13JI49 AAWdWP�l ldllfla'
w1G;71hj ------------------------
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-------- --- .... ..... ... . .....
Address Wd?
B�ratoga-SunnyyaleHd
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&
Form ,
mole Oil & Refininq Co-
RECORD OF INSPECTION
Foundation
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- ------------- --------------- -------- .... ....... .—----- -------- -------------- -------- -
Stucco .... . . Frame. . ......... ....... .... Finish ........<---–------------------------------
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