39970 (2) Q1?f 14 SAN JoYti I I er BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No.Z.56Z-- ------- Lot No. 73__---Plan No. A-3
4�
Date- ---------------------- Ig---6Z.. .1 Permit No.,,?.7 ----------
Application is hereby made for a permit tobuH-d-----------�.------- ........ ...............
a0ne-----�story, Type.- 1'd6nt e-with-attached-ga rage-------------------- -. Building
at Use Zone ----------
_-----------.--
to ad 2 ilyrieszince ----I/-----
a ccu ted a
in ctl� �Ss P if tiy
tcccrdl a Warl , Sp f ons Plot-plan fiiedherewitibl.
Estimated Value of Improvements, $
If 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 o.f buildings within the City of Son Jose, will be
complied with.
I certify that in-the perfcrmance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to violate the workmen's compensation6I of California
6M Bolliniger Road
owneperald Oakley Organizatio-ii---Address San-Jose., California.....
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ByAged ......... ..Address ......
Form 2801-1
RECORD OF INSPECTION ) C /• ... /-�
Foundatio 0_[-0--.2-3-Frame ( L A J: 2- /
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Stu - -- - _... ------------ -- Finish ....:(�..'. 3 '(� 3 I a �'i�J