42622 1'; !�,75 Saratoga—Sunnyvald
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ------------- --- Lot No. .......... .........
f '2----------------------
Date--- .............................1 19......... Permit No....4 %7 0 Z--
Appri rti hereby made, 4 ermit to __t.F_M_0A4-------...............................
Idin
a---------/...story, Type----;n ......
04
at ...
........... ------------------------------- --- ------
to be occupied only as Par�in, 1p.,y- ------------- -------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, .....................Ij
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 shell not employ any per-
son in any manner So as
to violate the workmen's compensation laws of California
Address
Owner ....... .... ...
conl
----- ------
Address' ............*;��g ..........
ByAgant�t=
Form 280-1 10W, Saratoga—.Siln,virpilo Arnold Hoffman
RECORDOF INSPECTION
Foundation ---- -- ------ -- --- ---------------------------- Frame .............. ------------
Stucco ----- -- -------- ------ -- ---- -------- ----------------- Finis
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