40898 Lane
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.' """�F�. Lot No. 7-5- -- - /
Date..... - - ... ----------------------- ........1 19--6 1 L(LOOP
--- --- �er it No--------------------------------- ---
Application is hereby a permit t ---------- F ...............................
for -------------------- -------
--------------- Building
a........./----story, T�yp
Use Zone -----9--./-------
at
- ------ ---- - -- -------- --------------- Occupancy .........J_.......--
to
.........L..........
tobeoccupiednlyas '/:�:-25�- ------ -—----
in accordance with Plans, Specification, and Plof-plan iled herewith.
Estimated Value of Improvements, $'/�C)
If is hereby agreed that the requirements of the San Jose--4d';-n-g*'end 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 �hfll not employ any per.
son , any so a mans compensation laws of Calif.rn;t/
/ ..... .... . ... -------
0
w or ddre X�a�
C.mf'.d.. ..................... .......................
BYA9, - Address
Form 280-1
RECORD OF INSPECTION
Foundation .. ........ -.. ./.3.. a
ra ......... ---G/' -------------- ------ --------------
Stucco --- ---- ------ ----------- ----- ------------------------- Finish ......54-
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