40170 iWOF SAN JOSJ,r,11ga-Sunnyvale, VBUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ..... ......... Lot No- ------ ---
Date-------- ---------------------------- 19_62 Permit NoAV70-----------------
Application is hereby made for a it t
1 9 _permi o ........ I Building
a....../.........f,ry, Type- ot .-? ve -- -------------- ........ ---------- ---- ....
t-'),nle — �
at 1--3.2.x.5.. 70 V�� -9) Use Zone -- -------------------
_y
ef y ---------------
-----------------
L tobW,.c�rp�as A/(/-farkiggce
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $Itf.A.
It is hereby agreed that the requirements of the Son 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 workmen's'compensation laws of California.
Owner
------------- Address
ByAq.ntcz
----Address ......----------------------- ----------- .-----------
.............
Form 280-1 1325 Saratoga—Sunnyvale Hiprhway Humble Oil
RECORD OF INSPECTION
Foundation ---- ----- --- ---------- ---------- ..... ......... Frame --------- ------- ---------------- ----- -------------------------
Stucco ----- ---------- ------------- ----------- .................. Finish ....... ..
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