28655 1699 Saratoga-Sunnyvale Ed.
CITY.OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date----------------------------------'7.-.I-e=........195 Permit No...... .........................5 s........
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Application is hereby made for a permit to-:........... -----------------------------
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story, Type -Pe----- ... ..Z?Vi --- ..........juilding
-- .............
... ............. ------W.... .. . ......... . C -------------
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to be occupied only as--------------- -N-4"L. ... ...... . .. - ---- ------ . ......................
in accordance with Plans, Specifiations n Plot-plan filed he ew:th
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 complied with.
Owner.-----. lar------------- --------------.Address--------- -----------------------------------------------------
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By. ...
IF 00P/Alff� IrT�-.Co...........Address-Z.6q.-Y-S----1-;n7kn-Z.-?�� d75J1
contractor. Agent
'u
MSar
at at a-e
Forrn a Yvna 6 Ed. Joe Lodota
RECORD OF INSPECTION
f- 17 -�2(4 -3r �-P
Foundaton.F- -RwM-- T- TR---
ifN -°/�----Frame
Stucco-----------------------------------------------------------------------Finish----- ] G" 4��
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