NO PERMIT NUMBER (2) 920-22 Miller I
CITY OF SAN JOSE BUILDING, DEPARTMENT
APPLICATIONFOR ILUILDING PERMIT
Date---------- .....195.7---- Permit No.................................
Application is hereby m'd for a permit to----------- --------------------------------- -----------------
--- ------------------ .. ............... Building
Sor,,,T,,, .. `----------------------LI-------. --...------- ----1--------- ---- -------
tolb:�occu�pied'o-nVis................................. ------- ................ - ------------------- ....................................
in accordance wit 'Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements.
It is hereby agreed that the requirements of the Sin 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.
Owne- .....Address,,*.k ... ... . .. .------------ - -----
'C-------7 1
BY.......L.r.....................(..............----------------------:-Aciclress-----------------------------=�.. ........
Contractor. Agent
Forn,280-1 920-22 Miller 0. Shoemake
RECOINSPECTION
Foundation -- r - - - --------------
Stucco...........----.................................. ............... ...Finish------...... ---------'L--Y..--�5. ..............
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