39970 (2) 847:lk� Miller Ave.
CITY. OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 2562....._---- Lot No. 72.......Plan No., C-2
Date-...-----October..l...................... 19---62 Permit No.3 c-�...-2.7eP
Application is hereby made for a permit #obuild--------------------------
a.one.......story, Type..S,Re.sidence�vith attached..gar.age....................... Building
a+ 47-
.Z-. ✓...M144- . A-e--_A.I E----- use Zone -e-2...........
Occupancy ---Z-------------
to a occ pi d l VPnZ
airnll —.5..d n� Pa king/$ e '
in accordance pe tfi a#ions and. Plot-pan i ed
here"
h.
Estimated Value f Improvements, $ .c]`9i._ ....2-0.1.Clo O,
It is hereby agreed that the requirements of the Son 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 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 compensation laws of California.
6403 Bollinger Road
OwnerGerald--OakleY OrganizationAddressSan-Jose.,-.galifornia............
Bynv.nt. .... -----..Address 6?,. la129L'r..------,......
Form 280-1
,
-- REC_ OR.D OF INSPECTION
Foundation 6r /-----/ S 'O. .2 ���• /�
P, /?8 c