60821 (2) 1040 Colony Hills /
Tract No. Z5-37 Lot No.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date , .1967 _ er if No.
Application is hereby made for a permit to Qe
a story, Type Use Zone
aC Occupancy
to be occupied only as��/ ` O�� Parking Space
in accordance with Plans, Specifications d n f e5
Estimated Value of Improvements, $ Q_
I certify that in the performance of the work for which this permit is issued I shall not employ any person
in eny manner so s to violate the�'''en's compensation laws of Ca�liffoornia./, t,
Owner_ O_ N /off Address ��JO California.
� Address 90.5 �Oiq �9$ C
0�RECORD OF INSPECTION
Foundation 4, d 1 L 1 i Frame
Stucco Finish
1040 Colony Hills 9 John Poe �rf�
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