48954 (2) -6389 Cottonwood Ct. 9
,CITY OF SAN JOSE ' . . BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT FA
7. ...Tract No..—!...................Lot No.....------
Date.... ..-.2 .. . ....
Permit No....... .............. .........
U;&7-p+-- . ....Eael--O....................
Application is hereby made Jpr T I
a or t to .
........ Building
............
a-----/�........story, Type:7...F�" Use Zone...??-/............
at .& .........g:::-� cc pancy ... /.................
to be occupied only as/"�- ----- I erewith. i c .. .............
in accordance with Plans, Specification n 1lot-plan iled
'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.
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.
Owner---21......... ...... dress-----..... -------------------------------
BiC ntractor 1"n-evole-0—o"'
..................................ifilArest-7/..................................... .............
A;ent. �/:............ ;t.,
6389 Cottonwood Ct. L. Brown
RECORD OF INSPECTION
Foundation. l . !.............�.....C:G....Frame.....................
�5 oeo---------------............ ...----......................... Finis .--- ------------..-....------ ---- ----- ----- --
FOAM 200-I -IDM_2/05
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