27576 (2) 884-86 Miller "
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Date-------------------...... V .195 .• Permit No-----�° -'k-
Applicafion is hereby made r a permit to---------------/ ---___ --------.....-..-_--_-..........................
��_/s4ory,QType �------------........................... �d---.....-----------------------------Building
ofY...-- •P... /.....%/ ��e ........................
tobe occupied only as......................-------_---- ................----------------_---------
in accordance with Plans, Specifications and Plot-plan filed herewith.
Esti of Value of Improve entf $.-- �J..0 J
It here e r h s 're n}s pj 4 en Jos. Buil i end Z i i as�,bdd )/flfher laws
e
PP i.
ble-}o e u i on, en IN of uildin s wi} I a-/Ci a o e, it Y�com I�o�d,tw�th.
Owner. / � � .. -. Address....�_4.....147 tf
I
.By---d---� r 4"�` ""' Address----....artfL:!-17AIAG ---------------------
Contractor, Apant
Form mo-i 884-86 Miller 0_.7 Shoemake
RECORD OF INSPECTION
Foundation--.. f?.W.A---I............-Fr 0
.......................... —CM .-...... ...............
Stucco.......I:::... inish............6............3....a------
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