39793 (2) SAN J0Sifi11P'_r BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. ;?_5ZZ.---- Lot No. ...&'--7 P/arr7
Date___,5_c,PA......�7---------------:....... 19z,7— Permit Nol39_719.3-----------------
Application is hereby made for a permit to __16z1ez'/i31..............................................
a-----/------story, ...�W_.t.V?elluildinq
at M%�,�F,..e .-A✓F Use Zone--- ------- ---
9-C,cupancy ., -)----------------
to
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to la �lcupied IM�
in Wa - P
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in a' cordlej� S. ';:p..'1,"ca\f.Mn Plool-p jailaherewiW.I
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Estimated Value I 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 of buildings within the City of Son 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 so as tool
o violate/the workmen's compensation laws of.Californ.im.
Owner _6.�
A/ W.Address ----------
e.ar�. e 6_7W
----------
--Address
Form 280-1
RECORD OF INSPECTION
Founds _.G4i4.-LK.a....�/-���t`..:G._Z Frame ,;•:.I�_./............ ...... ..YV"!r'----
stucco - -------------------------------------- ------------- inish ..LCT..:_2. �- 6 `� ��'`^�}