46381 F (2) 7719 Carriage Circle
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No......-•----------....Lot No.--------------- ------
Date...:3.. ..-----).-J----................--•--, l91 Permit
Application is It b made for a permit to ...Zola----—12;...................................
a...... .........stori Typ ...............------------ Building
at .... Use Zone...j4Z../..........
ccupancy.......X-�...........
to be occupied only as r 9 a........2..........
in accordance with plans,,, Spec 1caf of-pe it
Estimated Value of improvements, $... --p—P.D.................
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.
I certify that in the performance of the work for which this permit is issued I shall not employ any person in
any manner so as to violate the workmen's compensation laws of California.
Ow e
D I
j ......Address... .........
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Contractor .......Address......... ---
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....--...f ......
By Agent.........
.1 .7719 C , rriage Circle Paul Otvas
RECORD OF INSPECTION
Foundaf ion..//--2—65—c j....------..Fra
me...........
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Stucco.............. 9-6 5—
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Form 280.1—IOM-12-63