27471 (2) 892-94 Miller. . -t - I . .
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUWIING PERMIT
Date..........................ef�l�j6--- .190--- Permit
Application is hereby made for a permit to.................�F'Aw..........................................
a..-------/--....story, Type.......... -------------------------.................................... '--------..-.................Building
at-- ...........
tob -------11 ------ .............
in accordance
Estimated Value of Improvements,
It is hereby agreed that the requirements of the Sen Jose Building and Zoning Ordinances and all other Ia.,
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
Owner---.' ........Address--/S�.S� ...... ..........
By---.........—...............---------------------------------------------JAAdress...................................................................
Contractor. Agent
Form 280-1 892-94 Miller j. simemake
j ECORD OF SPECTION
Foundation__/--/-Z—bw--.. -....... - .Fre of ,- ---� - PLV
Stucco:.---------•---------------------------------------------..........Finish------..k.-3-�-�J� -n•��
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