45395 (3) L590 Jamestown
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 3.'7-0-/..... Lot No. /(0—..... lq7-7-DI
Date----------OCT -.2 1964 No.------
.............. ............................. 19......--- Permit
Application is hereby made fora�Permit o
-------------------a_._._.I_.....story, Type....
... Building
..... ... ... .... - -------------
at Z 1719
................I...... Use Zone
to be occupied only as Occupancy ....�=..........
........ Use
Space ---2�----------
in accordance with Plans. Specifications and Plot-plan filed herewith.
Estimated Value- of Improvements,,$/ .........
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other
laws appl;cable 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 per.
son in any manner s '�ata,,fhe workmen's compensation laws of California.
Owner --A;I�zo ,
.- I .� 1.414
contractor 14, '.�e-e ---. - ----ZC (.......Address ...SGHVL--TE--QAMP-DEV:-C-i0.
BYA9.0.................. -------------------------Address 2633 SO. BASCOM
Form 280.1
RECORD OF INSPECTION
Fame ...................en--- ----- --------
Founclafion�v ...
Stucco ----------
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-G
ell
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