27312 (2) 902704 Miller
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT ..
A�7— -C
Dat a.........................1-2,=l..&.--195-7----- Permit No..... ......
Application is hereby made for a permit to-------i01":.....W.............................-----------------------
a.........?/.......story, Type--:. ---------------— - ....z:PA-4................-,-------- ......----.Building
at ,2
----------------
.. .— ... ... ..........
&4 ------------ .........14...............................................
be upa ...
to p .........
in,accordance WitAPlans. Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, --- .. .. ... ..........
It is hereby agreed that the requirements�o 2eSan 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 wish.OwnerC�.�
By..........t....L............................ ............Address...............................
Contractor, Agent
Fam, 280.1 902-04 Miller -Z"3 0. Shoemake
RECORD. OF INSPECTION p��(
Foundation----z-- --`7••.. ----`�-S!---- �J�{- -----.Frame-- /-/-•---`r�---�---.....Q lY..L.�--------------------
Stucco - � u�o
-- ......- - ............._Finish a:d (J