38666 (2) Miller
C4AVSAN JOSE BUILDING DEPARTMENT
APPLICATION FOR BUILDINPERMIT
Tract No. ;L:�Wzot No. .6---�.r --
Date------------.a....L0` _11................... 1.967— Permit 1415_14614�
Application . hereb"ade for a permit to 4400
is .......... ..................................... .................
-
a---------/..story, Tmte_r� ----- ----- ---- Building
at ---------- Use Zone-tel.......
r Occupancy .1E
' 7----------
to be occupied only as ------------- Parking Space ------12�
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Valu f I ts --- - ---r-a...............
a nT
11-1 hereby agreed 0 mproT t, of the B nj-1?.,',ng Ord,,napca, and all other
9,aed that the -70r.m.'n se
f
0
'I. bt the
nst 0 City 0 Jose, will
laws Pop Cab 6 0 0 ccn, ruc on, o< do and Us. f utYnq;"-!1hn he be
'e
a a Ce h
to fe C r"
uc
mplied with.
y C. r any Per-
on
cert' y h t �a th r for wh h Is Issu
to the workmen's f a or
on in io fe the workmen's A a of Ca omnia.
----------
Owner - ..—Address
.... ............. ... ..... ... ....
ot.,
leo-1' 2
...... ---- --------
at" ' ' Ql"�......Address L-5 ..
�;Aj'.at ----------- _- - - r 'JQA'Iy_�
Form' 9-31-Miller Davis-Graham
RECORD OF INSPECTION
Founds#ion ..._. ... ... . .., .lY./J�...GFre /s
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Stucco ---------------------------- --.-------------------. Finish